Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00069 | Date 03/08/2018 |
| Token No | SM/18-19/9336 23/02/2019 | Serial | 022 Last Visit: 27/10/2023 |
| Patient Name | Mrs. PARI PAL | Contact No | 9163179023 |
| Address | 48, A.P GHOSH ROAD | Age | 71 Years,9 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||