Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00205 | Date 07/08/2018 |
| Token No | SM/22-23/12679 20/05/2022 | Serial | 005 Last Visit: 26/09/2022 |
| Patient Name | Mrs. NAMITA MONDAL | Contact No | 8583907269 |
| Address | 32 CHAKRABORTY LANE | Age | 60 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | 140 cm BMI: 19.897959 |
| Diagnosis | |||