Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09257 | Date 01/03/2021 |
| Token No | SM/20-21/30431 05/03/2021 | Serial | 053 Last Visit: 05/03/2021 |
| Patient Name | Mrs. KAJAL DAS | Contact No | 9674269219 |
| Address | 16/B CHAWK BAGDIPARA BAIDYABATI M | Age | 30 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||