Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00832 | Date 29/08/2018 |
| Token No | SM/21-22/2870 05/07/2021 | Serial | 054 Last Visit: 19/02/2022 |
| Patient Name | Mrs. PADMARANI KUNDU | Contact No | 8013156326 |
| Address | 27 KASI DR. LANE | Age | 81.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||