Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05527 | Date 22/06/2019 |
| Token No | SM/19-20/5108 22/06/2019 | Serial | 069 Last Visit: 30/05/2022 |
| Patient Name | Mrs. CHHANDA KUNDU | Contact No | 9051105781 |
| Address | 62/C,G.T ROAD MARDAN NABAGRAM BAIDYABATI(M) | Age | 53 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||