Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01661 | Date 13/10/2018 |
| Token No | SM/21-22/3267 17/07/2021 | Serial | 019 Last Visit: 03/01/2023 |
| Patient Name | Mrs. MINATI DAS | Contact No | 7044717545 |
| Address | GOBINDA PUR,DIYARA | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||