Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11721 | Date 29/11/2022 |
| Token No | SM/22-23/18399 29/11/2022 | Serial | 042 Last Visit: 05/12/2022 |
| Patient Name | Mrs. SIKHA DAS | Contact No | 7908666659 |
| Address | 58 (137) SATCHASI PARA SERAMPORE BAIDYABATI(M) | Age | 61 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||