Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10245 | Date 28/10/2021 |
| Token No | SM/21-22/6340 28/10/2021 | Serial | 006 Last Visit: 23/04/2024 |
| Patient Name | Mrs. GITA KANJI | Contact No | |
| Address | TARAKESWAR,JOYKRISHNA BAZAR | Age | 61 Years,3 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||