Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05719 | Date 10/07/2019 |
| Token No | SM/19-20/6209 10/07/2019 | Serial | 077 Last Visit: 06/07/2023 |
| Patient Name | Mrs. RANI BANERJEE | Contact No | |
| Address | 13 CHATRA DHARMATALA | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||