Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00633 | Date 23/08/2018 |
| Token No | SM/18-19/758 23/08/2018 | Serial | 007 Last Visit: 27/06/2024 |
| Patient Name | Mrs. KAKOLI ROY | Contact No | 9088388538 |
| Address | 12G/2 ARBINDO SARNI KUMOR PARA | Age | 42 Years,2 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 89/58 mmHg | Weight | 37 KG |
| Pulse Rate | 89 / min | Height | cm BMI: inf |
| Diagnosis | |||