Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03155 | Date 24/01/2019 |
| Token No | SM/18-19/11415 28/03/2019 | Serial | 017 Last Visit: 31/08/2022 |
| Patient Name | Mrs. PARUI MONDAL | Contact No | |
| Address | BAGER BAGNA CHATRA , BAIDYABATI (M) | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 29.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||