Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06567 | Date 27/09/2019 |
| Token No | SM/19-20/11259 27/09/2019 | Serial | 070 Last Visit: 27/12/2022 |
| Patient Name | Mrs. TARA MALIK | Contact No | |
| Address | 66/1H/1H, RAMKRISHNA ROAD,BAIDYABATI(M) | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||