Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02446 | Date 10/12/2018 |
| Token No | SM/18-19/4991 10/12/2018 | Serial | 039 Last Visit: 18/04/2022 |
| Patient Name | Mrs. RINKU JANA | Contact No | |
| Address | BAGER BAGAN CHATRA BAIDYABATI(M) CHATRA | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||