Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02110 | Date 24/11/2018 |
| Token No | SM/18-19/5002 10/12/2018 | Serial | 050 Last Visit: 01/04/2024 |
| Patient Name | Mrs. PADMA RANI GHOSH | Contact No | 9331445758 |
| Address | CHATRA DHARMOTALA BY LANE | Age | 72 Years,3 Months,30 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||