Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11600 | Date 21/09/2022 |
| Token No | SM/22-23/16963 21/09/2022 | Serial | 006 Last Visit: 21/09/2022 |
| Patient Name | Mrs. SABITRI RAY | Contact No | 9836049099 |
| Address | 16 RAJA K L GOSWAMI STREET | Age | 71 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||