Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07627 | Date 25/02/2020 |
| Token No | SM/21-22/1583 20/05/2021 | Serial | 027 Last Visit: 30/06/2022 |
| Patient Name | Mrs. MAMATA GHOSH | Contact No | 9003372487 |
| Address | 5 A. P. GHOSH ROAD,CHATRA, | Age | 58 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||