Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08103 | Date 17/04/2020 |
| Token No | SM/19-20/21289 17/04/2020 | Serial | 057 Last Visit: 06/05/2022 |
| Patient Name | Miss SHRABANI DUTTA | Contact No | 7980412813 |
| Address | BARO BELU,BELUMIKI HOOGHLY | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||