Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11896 | Date 28/01/2023 |
| Token No | SM/22-23/20092 28/01/2023 | Serial | 040 Last Visit: 20/02/2024 |
| Patient Name | Mrs. SHOBHA DAS | Contact No | 9836936152 |
| Address | 8/2 TALI PARA LANE,BAIDYABATI(M) | Age | 67 Years,1 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||