Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03002 | Date 14/01/2019 |
| Token No | SM/24-25/33074 31/05/2024 | Serial | 005 Last Visit: 14/08/2024 |
| Patient Name | Mrs. MALIKA PANDIT | Contact No | 9874916843 |
| Address | 13 CHATRA LAHIRI PARA | Age | 41 Years,7 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||