Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 06488 | Date 20/09/2019 |
| Token No | SM/19-20/12099 19/10/2019 | Serial | 048 Last Visit: 05/01/2023 |
| Patient Name | Mrs. ARAKABHA GHOSH | Contact No | 9088178235 |
| Address | ANJANGARA SHEWRAPHULI, BAIDYABATI(M) | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||