Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03376 | Date 05/02/2019 |
| Token No | SM/21-22/754 23/04/2021 | Serial | 007 Last Visit: 27/01/2022 |
| Patient Name | Mrs. SUSHAMA DAS | Contact No | 8443839661 |
| Address | SATCHASI PARA,LANKER BAGAN,BAIDYABATI(M) | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||