Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01315 | Date 24/09/2018 |
| Token No | SM/18-19/2018 24/09/2018 | Serial | 077 Last Visit: 13/08/2021 |
| Patient Name | Mrs. NILIMA GHOSAL | Contact No | 9477969356 |
| Address | 14, PANCHANAN TALA | Age | 57 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||