Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02587 | Date 18/12/2018 |
| Token No | SM/18-19/8810 16/02/2019 | Serial | 034 Last Visit: 29/01/2024 |
| Patient Name | Mrs. ALOKA GHOSH | Contact No | 9875442744 |
| Address | 18 BENIYA PARA LANE | Age | 42 Years,0 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||