Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08049 | Date 09/04/2020 |
| Token No | SM/19-20/22274 15/05/2020 | Serial | 041 Last Visit: 21/03/2025 |
| Patient Name | Mrs. JAYANTI KAR | Contact No | 8013240498 |
| Address | 16/2/A BARA BAGAN LANE | Age | 48 Years,9 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||