Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00936 | Date 05/09/2018 |
| Token No | SM/18-19/1628 13/09/2018 | Serial | 051 Last Visit: 01/04/2024 |
| Patient Name | Mrs. TULURANI DAS | Contact No | 9903419055 |
| Address | 15/7 BATTALA BAY LANE , HINDMOTOR | Age | 53 Years,3 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||