Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01798 | Date 31/10/2018 |
| Token No | SM/18-19/3218 31/10/2018 | Serial | 022 Last Visit: 14/06/2022 |
| Patient Name | Mrs. RUPALI ASH | Contact No | 7596827300 |
| Address | CHATRA TELI PARA ,BAGHER BAGAN | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||