Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02630 | Date 21/12/2018 |
| Token No | SM/22-23/27375 20/12/2023 | Serial | 019 Last Visit: 20/12/2023 |
| Patient Name | Mrs. SUDHA BISWAS | Contact No | |
| Address | 12/b un nandi sheorafuli | Age | 45 Years,11 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||