Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06537 | Date 25/09/2019 |
| Token No | SM/19-20/11078 25/09/2019 | Serial | 020 Last Visit: 07/11/2025 |
| Patient Name | Mrs. DIPALI DHARA | Contact No | 9007325578 |
| Address | 28 DR. BAGAN LANE | Age | 49 Years,10 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||