Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00237 | Date 08/08/2018 |
| Token No | SM/24-25/33197 03/06/2024 | Serial | 044 Last Visit: 03/06/2024 |
| Patient Name | Mrs. MONOMILA MONDAL | Contact No | |
| Address | BAGER BAGAN, CHATRA | Age | 68 Years,5 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 129/69 mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||