Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03098 | Date 19/01/2019 |
| Token No | SM/19-20/4616 14/06/2019 | Serial | 091 Last Visit: 08/12/2022 |
| Patient Name | Mrs. PAMPA GHUGHU | Contact No | 9062035737 |
| Address | PIYARAPUR SHEWRAPHULI , BAIDYABATI (M) | Age | 41 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||