Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08070 | Date 13/04/2020 |
| Token No | SM/19-20/22628 01/06/2020 | Serial | 017 Last Visit: 01/03/2024 |
| Patient Name | Mrs. SUMITA PAL | Contact No | 9883204401 |
| Address | 28/A BARA BAGAN LANE | Age | 61 Years,2 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||