Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04970 | Date 29/04/2019 |
| Token No | SM/19-20/1887 29/04/2019 | Serial | 043 Last Visit: 10/08/2022 |
| Patient Name | Mrs. JHUMA SARKAR | Contact No | 8910163544 |
| Address | 301/T/A TELIPARA BAGER BAGAN , BAIDYABATI(M) | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||