Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04253 | Date 16/03/2019 |
| Token No | SM/19-20/1800 27/04/2019 | Serial | 049 Last Visit: 15/12/2020 |
| Patient Name | Mrs. REKHA PARUI | Contact No | 8013281048 |
| Address | GARJI JAYPARA CHANDANNAGAR (M) | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||