Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04792 | Date 20/04/2019 |
| Token No | SM/24-25/37271 17/09/2024 | Serial | 017 Last Visit: 17/09/2024 |
| Patient Name | Mrs. ARATI SETH | Contact No | 9674357914 |
| Address | 12/G/2 ARBINDA SARANI CHATRA KUMAR PARA | Age | 65 Years,8 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||