Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00009 | Date 01/08/2018 |
| Token No | SM/19-20/25088 24/08/2020 | Serial | 030 Last Visit: 10/03/2023 |
| Patient Name | Mrs. ALOKA MONDAL | Contact No | 6289569969 |
| Address | 153 SITALA TALA ROAD CHATRA BAIDYABATI (M) | Age | 78 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||