Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00665 | Date 24/08/2018 |
| Token No | SM/19-20/15940 27/12/2019 | Serial | 024 Last Visit: 07/06/2024 |
| Patient Name | Mrs. SHYAMALI PAKRE | Contact No | 8420789912 |
| Address | BAGER BAGAN CHATAR | Age | 38 Years,5 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||