Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01679 | Date 26/10/2018 |
| Token No | SM/18-19/5902 28/12/2018 | Serial | 044 Last Visit: 07/04/2022 |
| Patient Name | Mrs. PRATIMA CHAKRABORTY | Contact No | |
| Address | CHATRA BAGER BAGAN , BAIDYABATI(M) | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||