Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06805 | Date 06/11/2019 |
| Token No | SM/19-20/13541 19/11/2019 | Serial | 038 Last Visit: 04/01/2025 |
| Patient Name | Mrs. ARCHANA BAG | Contact No | 8759991614 |
| Address | TARAKESHER, | Age | 49 Years,1 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||