Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07302 | Date 08/01/2020 |
| Token No | SM/19-20/16378 08/01/2020 | Serial | 018 Last Visit: 03/02/2022 |
| Patient Name | Mrs. SONAMONI DATTA | Contact No | 9804976466 |
| Address | PAHALAMPUR,DEARA | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||