Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 02227 | Date 29/11/2018 |
| Token No | SM/19-20/6809 18/07/2019 | Serial | 084 Last Visit: 31/01/2023 |
| Patient Name | Mrs. SHIMA GHOSH | Contact No | 9903140777 |
| Address | CHATRA MANNA PARA | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||