Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05507 | Date 21/06/2019 |
| Token No | SM/19-20/5007 21/06/2019 | Serial | 033 Last Visit: 24/09/2021 |
| Patient Name | Mrs. SANAKA MONDAL | Contact No | 9836855371 |
| Address | TELIPARA BAGERBAGAN | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||