Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01119 | Date 13/09/2018 |
| Token No | SM/20-21/28024 03/12/2020 | Serial | 009 Last Visit: 01/08/2025 |
| Patient Name | Mrs. ANJANA SAHA | Contact No | 9239127058 |
| Address | BENE PARA | Age | 45 Years,7 Months,30 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||