Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 01579 | Date 09/10/2018 |
| Token No | SM/19-20/23922 09/07/2020 | Serial | 013 Last Visit: 24/06/2024 |
| Patient Name | Mrs. NAMITA JANA | Contact No | 9231878106 |
| Address | CHARABAGAN , BAUN PARA | Age | 69 Years,5 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||