Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02442 | Date 10/12/2018 |
| Token No | SM/19-20/11671 14/10/2019 | Serial | 065 Last Visit: 08/09/2022 |
| Patient Name | Mrs. REBA GHOSH | Contact No | 9163689005 |
| Address | CHATRA SHITALA TALA,BAIDAYBATY(M) | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||