Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01559 | Date 06/10/2018 |
| Token No | SM/19-20/2132 03/05/2019 | Serial | 036 Last Visit: 13/08/2022 |
| Patient Name | Mrs. SHUBHA KAYAL | Contact No | 6290935044 |
| Address | TELIPARA BAGER BAGAN CHATRA , BAIDYABATI (M) | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||