Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02957 | Date 11/01/2019 |
| Token No | SM/18-19/6658 11/01/2019 | Serial | 015 Last Visit: 09/07/2024 |
| Patient Name | Miss SANGITA PAL | Contact No | 8017627172 |
| Address | 29/39 CHATRA TETUL TALA | Age | 18 Years,6 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||