Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00245 | Date 08/08/2018 |
| Token No | SM/19-20/7578 30/07/2019 | Serial | 027 Last Visit: 28/01/2023 |
| Patient Name | Mrs. SARAMA PAL | Contact No | 9830775210 |
| Address | 61, MUKHERJEE PARA LANE | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||