Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03619 | Date 16/02/2019 |
| Token No | SM/20-21/27606 18/11/2020 | Serial | 028 Last Visit: 04/01/2022 |
| Patient Name | Mrs. NAMITA DAS | Contact No | 7687015267 |
| Address | CHATRA LANKER BAGAN,SATHCHASI,PARABAIDYABATI(M), | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||