Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06232 | Date 27/08/2019 |
| Token No | SM/19-20/9206 27/08/2019 | Serial | 014 Last Visit: 03/06/2022 |
| Patient Name | Mrs. LAKSHMI PRAMANIK | Contact No | 7890383121 |
| Address | CHATRA BAGHER BAGAN,BAIDYABATI(M) | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||