Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06969 | Date 23/11/2019 |
| Token No | SM/19-20/13854 23/11/2019 | Serial | 049 Last Visit: 08/07/2023 |
| Patient Name | Miss PUJA PAUL | Contact No | 9231789693 |
| Address | 217(81/J) TELI PRA BAGER BAGAN , BAIDYABATI(M) | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||