Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06179 | Date 20/08/2019 |
| Token No | SM/19-20/8837 20/08/2019 | Serial | 116 Last Visit: 27/10/2021 |
| Patient Name | Mrs. PRIYANKA GHOSH | Contact No | 8582898176 |
| Address | 08 DHARMATALA BYE LANE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||