Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00009 | Date 01/08/2018 |
| Token No | SM/18-19/9 01/08/2018 | Serial | 009 Last Visit: 10/03/2023 |
| Patient Name | Mrs. ALOKA MONDAL | Contact No | 6289569969 |
| Address | 153 SITALA TALA ROAD CHATRA BAIDYABATI (M) | Age | 78 YRS Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | 110/66 mmHg mmHg | Weight | 50 K KG |
| Pulse Rate | 85/m / min | Height | cm BMI: inf |
| Diagnosis | |||