Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04778 | Date 20/04/2019 |
| Token No | SM/19-20/11835 16/10/2019 | Serial | 053 Last Visit: 31/01/2024 |
| Patient Name | Mrs. JOHRA BIBI | Contact No | 9874215539 |
| Address | 131 CHATARA GHOSH PARA | Age | 61 Years,0 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||