Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04909 | Date 25/04/2019 |
| Token No | SM/19-20/1651 25/04/2019 | Serial | 037 Last Visit: 07/04/2022 |
| Patient Name | Mrs. MALIKA DAS | Contact No | 9674871505 |
| Address | CHATRA SACHTASHI PARA LANKAR BAGAN , BAIDYABATI(M) | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||