Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03517 | Date 12/02/2019 |
| Token No | SM/22-23/26185 10/11/2023 | Serial | 036 Last Visit: 02/01/2024 |
| Patient Name | Miss DISHA BHNGARI | Contact No | 7278899484 |
| Address | 16 RAJA K.L GOSWAMI STREET | Age | 20 Years,0 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||