Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01593 | Date 10/10/2018 |
| Token No | SM/21-22/6555 03/11/2021 | Serial | 004 Last Visit: 11/04/2023 |
| Patient Name | Mrs. ANJALI RAY | Contact No | |
| Address | CHATRA MUKHERJEE PARA,BAIDYABATI(M) | Age | 65 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||