Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00178 | Date 06/08/2018 |
| Token No | SM/18-19/4942 08/12/2018 | Serial | 069 Last Visit: 03/06/2024 |
| Patient Name | Mrs. ASTABALA KAYAL | Contact No | |
| Address | 65, CHATRA DHARMATALA LANE | Age | 81 Years,5 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 29 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||