Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04125 | Date 09/03/2019 |
| Token No | SM/18-19/10871 19/03/2019 | Serial | 064 Last Visit: 21/09/2024 |
| Patient Name | Mrs. KAMALA MONDAL | Contact No | 9007726406 |
| Address | CHATRA MANNA PARA | Age | 61 Years,8 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||