Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06095 | Date 09/08/2019 |
| Token No | SM/21-22/251 07/04/2021 | Serial | 026 Last Visit: 29/03/2022 |
| Patient Name | Mrs. PARHUL MONDAL | Contact No | |
| Address | BAGER BAGAN CHATRA ,BAIDYABATI(M) | Age | 77 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||