Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04648 | Date 09/04/2019 |
| Token No | SM/19-20/3711 30/05/2019 | Serial | 004 Last Visit: 04/09/2025 |
| Patient Name | Mrs. SANDHYA PAL | Contact No | 8609041975 |
| Address | 40 KUMORPARA LANE,CHATRA | Age | 60 Years,8 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||