Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01007 | Date 10/09/2018 |
| Token No | SM/19-20/6160 10/07/2019 | Serial | 028 Last Visit: 07/09/2024 |
| Patient Name | Mrs. SANDHYA ASH | Contact No | |
| Address | BAGER BAGAN CHATRA BAIDYABATI (M) | Age | 69 Years,8 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||