Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02263 | Date 01/12/2018 |
| Token No | SM/22-23/13966 24/06/2022 | Serial | 033 Last Visit: 27/12/2022 |
| Patient Name | Mrs. KAJAL DALAL | Contact No | 9073223375 |
| Address | 36/E G. T. ROAD,BAIDYABATI(M) | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||