Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07808 | Date 16/03/2020 |
| Token No | SM/19-20/19703 16/03/2020 | Serial | 027 Last Visit: 04/04/2023 |
| Patient Name | Mrs. SHANKARI PULEY | Contact No | 7998311692 |
| Address | 133/166 SHITALA TALA ROADCHATRA , BAIDYABATI(M) | Age | 65 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||