Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 09171 | Date 14/01/2021 |
| Token No | SM/20-21/29348 14/01/2021 | Serial | 014 Last Visit: 14/01/2021 |
| Patient Name | Mrs. KASHMIRA ROY | Contact No | 7980212962 |
| Address | 54 CHATRA MUKHERJEE PARA,BAIDYABATI(M) | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||