Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 07944 | Date 27/03/2020 |
| Token No | SM/19-20/20378 27/03/2020 | Serial | 026 Last Visit: 25/05/2022 |
| Patient Name | Mrs. SARATHI BISWAS | Contact No | |
| Address | 16 RAJA K L GOSWAMI STREET | Age | 67 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||