Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01451 | Date 01/10/2018 |
| Token No | SM/19-20/24815 07/08/2020 | Serial | 022 Last Visit: 08/11/2023 |
| Patient Name | Mrs. JHARNA PAI | Contact No | 8017267983 |
| Address | 11 A P GHOSH ROAD | Age | 76 Years,10 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||