Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02847 | Date 07/01/2019 |
| Token No | SM/18-19/6348 07/01/2019 | Serial | 002 Last Visit: 15/05/2024 |
| Patient Name | Mrs. KALPANA RAY | Contact No | |
| Address | BAIDYABATI(M) | Age | 56 Years,4 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||