Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05833 | Date 19/07/2019 |
| Token No | SM/20-21/25993 24/09/2020 | Serial | 023 Last Visit: 28/09/2024 |
| Patient Name | Mrs. SANDHYA DAS | Contact No | |
| Address | 22 P.N.K.B. LANE | Age | 66 Years,8 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||