Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00856 | Date 31/08/2018 |
| Token No | SM/19-20/15299 14/12/2019 | Serial | 064 Last Visit: 17/12/2022 |
| Patient Name | Mrs. KAMALA DAS | Contact No | 9038378033 |
| Address | DEARA,GOBINOPUR | Age | 64 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||