Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02405 | Date 07/12/2018 |
| Token No | SM/19-20/4613 14/06/2019 | Serial | 088 Last Visit: 07/12/2022 |
| Patient Name | Mrs. CHHOBI DAS | Contact No | 8479937447 |
| Address | 2 ,RAJDHAR PUR | Age | 43 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||