Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02630 | Date 21/12/2018 |
| Token No | SM/18-19/5575 21/12/2018 | Serial | 025 Last Visit: 20/12/2023 |
| Patient Name | Mrs. SUDHA BISWAS | Contact No | |
| Address | 12/b un nandi sheorafuli | Age | 45 Years,11 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||