Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01544 | Date 06/10/2018 |
| Token No | SM/20-21/25948 22/09/2020 | Serial | 044 Last Visit: 17/09/2024 |
| Patient Name | Mrs. MAYA PAL | Contact No | 7605822701 |
| Address | 146 G T ROAD BOWBAZAR | Age | 57 Years,5 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||