Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00302 | Date 10/08/2018 |
| Token No | SM/19-20/9786 04/09/2019 | Serial | 017 Last Visit: 27/09/2023 |
| Patient Name | Mrs. ALPANA DAS | Contact No | 8479821176 |
| Address | 17, P.N.K BANERJEE LANE | Age | 33 Years,5 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||