Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02442 | Date 10/12/2018 |
| Token No | SM/22-23/15205 30/07/2022 | Serial | 003 Last Visit: 08/09/2022 |
| Patient Name | Mrs. REBA GHOSH | Contact No | 9163689005 |
| Address | CHATRA SHITALA TALA,BAIDAYBATY(M) | Age | 48 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||