Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09324 | Date 15/03/2021 |
| Token No | SM/21-22/616 20/04/2021 | Serial | 025 Last Visit: 05/09/2023 |
| Patient Name | Mrs. SACHI RANI MAZUMDAR | Contact No | 7003897416 |
| Address | 34,B/5 B.B. GHOSH ROAD SUKANTA PALLY | Age | 78 Years,8 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||