Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00201 | Date 07/08/2018 |
| Token No | SM/19-20/25100 24/08/2020 | Serial | 042 Last Visit: 02/05/2024 |
| Patient Name | Mrs. ANJU PAL | Contact No | |
| Address | 15A. BHADURI LANE | Age | 67 Years,4 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||