Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07286 | Date 06/01/2020 |
| Token No | SM/21-22/2569 25/06/2021 | Serial | 036 Last Visit: 13/09/2022 |
| Patient Name | Mrs. CHANDANA CHANDRA | Contact No | 7890235924 |
| Address | PASCHIMPARA DAKSHIN RAJYADHARPUR, MALLICKPARA | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||