Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00066 | Date 02/08/2018 |
| Token No | SM/18-19/8634 13/02/2019 | Serial | 101 Last Visit: 06/03/2023 |
| Patient Name | Mrs. JUBEDA BEGAM | Contact No | 8697588418 |
| Address | SHEORAPHULI, BAIDYABATI(M) BENGAL COAL LANE | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | 140/80 / min | Height | cm BMI: inf |
| Diagnosis | |||