Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07658 | Date 27/02/2020 |
| Token No | SM/22-23/20144 30/01/2023 | Serial | 049 Last Visit: 30/01/2023 |
| Patient Name | Mrs. JAYANTI PAL | Contact No | 9163000427 |
| Address | 140/176 SHITALA TALA ROAD CHATRA , BAIDYABATI(M) | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 32 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||