Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10645 | Date 08/02/2022 |
| Token No | SM/21-22/10226 24/02/2022 | Serial | 029 Last Visit: 24/02/2022 |
| Patient Name | Mrs. KAJAL SIMLAI | Contact No | 9432120309 |
| Address | 35/A SASHIBHUSAN GHOSH LANE | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||