Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04542 | Date 04/04/2019 |
| Token No | SM/19-20/8148 08/08/2019 | Serial | 013 Last Visit: 26/08/2021 |
| Patient Name | Mrs. MINATI HALDER | Contact No | 9674871505 |
| Address | CHATRA SACHASI PARA LANKAR BAGAN | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||