Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02713 | Date 28/12/2018 |
| Token No | SM/18-19/5885 28/12/2018 | Serial | 027 Last Visit: 10/06/2023 |
| Patient Name | Mrs. MANJU DAS | Contact No | 9062376964 |
| Address | 63 NETAJI SUBHASH EVENEW | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||