Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00736 | Date 27/08/2018 |
| Token No | SM/20-21/30568 10/03/2021 | Serial | 006 Last Visit: 23/12/2022 |
| Patient Name | Mrs. KAJAL MONDAL | Contact No | 9836087036 |
| Address | 5A M.C.LAHIRI STREET | Age | 58.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||