Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07895 | Date 23/03/2020 |
| Token No | SM/19-20/20434 28/03/2020 | Serial | 021 Last Visit: 06/05/2022 |
| Patient Name | Miss DEBIKA CHANDRA | Contact No | 8017854515 |
| Address | 32/U DR. BAGAN LANE, | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||