Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04915 | Date 25/04/2019 |
| Token No | SM/20-21/27410 10/11/2020 | Serial | 051 Last Visit: 12/09/2023 |
| Patient Name | Mrs. SANDHYA BISWAS | Contact No | 8274941984 |
| Address | CHATRA TELIPARA | Age | 56 Years,8 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||