Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10606 | Date 25/01/2022 |
| Token No | SM/21-22/9800 11/02/2022 | Serial | 022 Last Visit: 06/11/2023 |
| Patient Name | Mrs. CHANDANA SEAL | Contact No | 9674249138 |
| Address | G.T ROAD PAMPANAGAR BAIDYABATI | Age | 44 Years,10 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||