Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04328 | Date 20/03/2019 |
| Token No | SM/18-19/11563 29/03/2019 | Serial | 071 Last Visit: 28/07/2022 |
| Patient Name | Mrs. ARADHANA MAITY | Contact No | 9339444474 |
| Address | SACHTASI PARA LANE , BAIDY6ABATI(M) | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||