Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02947 | Date 10/01/2019 |
| Token No | SM/18-19/6620 10/01/2019 | Serial | 047 Last Visit: 24/07/2024 |
| Patient Name | Mrs. CHABI BHANGARI | Contact No | |
| Address | K.L GOSWAMI STREET | Age | 60 Years,6 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 77 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||