Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03794 | Date 22/02/2019 |
| Token No | SM/22-23/11344 04/04/2022 | Serial | 018 Last Visit: 18/07/2022 |
| Patient Name | Mrs. MANTU RANI KOLEY | Contact No | 9163881993 |
| Address | 59 MUKHERJEE PARA LANE | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||