Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00172 | Date 06/08/2018 |
| Token No | SM/22-23/25767 31/10/2023 | Serial | 033 Last Visit: 31/10/2023 |
| Patient Name | Mrs. ANJALI MAITY | Contact No | |
| Address | CHATRA BAGER BAGAN | Age | 61 Years,9 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 80/64 mmHg | Weight | 36 KG |
| Pulse Rate | 90 / min | Height | cm BMI: inf |
| Diagnosis | |||