Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01899 | Date 05/11/2018 |
| Token No | SM/19-20/23848 07/07/2020 | Serial | 013 Last Visit: 25/07/2023 |
| Patient Name | Miss APARNA SAMANTA | Contact No | 9062376646 |
| Address | 4 CHOWDHURI PARA LANE | Age | 42 Years,6 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||