Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06805 | Date 06/11/2019 |
| Token No | SM/21-22/3311 19/07/2021 | Serial | 029 Last Visit: 04/01/2025 |
| Patient Name | Mrs. ARCHANA BAG | Contact No | 8759991614 |
| Address | TARAKESHER, | Age | 49 Years,1 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||