Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03428 | Date 07/02/2019 |
| Token No | SM/22-23/22315 21/06/2023 | Serial | 006 Last Visit: 30/09/2024 |
| Patient Name | Mrs. SULATA PAUL | Contact No | 9088548823 |
| Address | 52 CHATRA DHARMA TALA | Age | 55 Years,8 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||