Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08216 | Date 04/05/2020 |
| Token No | SM/19-20/21919 04/05/2020 | Serial | 063 Last Visit: 24/08/2023 |
| Patient Name | Mrs. RUBI MONDAL | Contact No | 8910329785 |
| Address | 31/A BARA BAGAN LANE | Age | 29 Years,4 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||