Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04300 | Date 19/03/2019 |
| Token No | SM/19-20/25024 19/08/2020 | Serial | 036 Last Visit: 11/08/2023 |
| Patient Name | Mrs. MINATI PAL | Contact No | 8017727099 |
| Address | 54 A CHATRA DUTTA PARA | Age | 75 Years,7 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||