Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00770 | Date 28/08/2018 |
| Token No | SM/20-21/27088 03/11/2020 | Serial | 013 Last Visit: 04/02/2023 |
| Patient Name | Mrs. SOBHA PAL | Contact No | 8583822278 |
| Address | 38, KUMOR PARA CHATRA | Age | 76 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||