Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04487 | Date 30/03/2019 |
| Token No | SM/21-22/4608 01/09/2021 | Serial | 006 Last Visit: 27/03/2025 |
| Patient Name | Mrs. JHUMA CHONGDER | Contact No | 9874856093 |
| Address | HOWRAH JAGDISH PUR | Age | 34 Years,2 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||