Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04721 | Date 16/04/2019 |
| Token No | SM/19-20/14707 05/12/2019 | Serial | 035 Last Visit: 18/04/2022 |
| Patient Name | Mrs. APARNA SAHA | Contact No | 8420678080 |
| Address | MULA SIMLA DIARA (NASIBPUR) | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||