Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09298 | Date 08/03/2021 |
| Token No | SM/20-21/30689 15/03/2021 | Serial | 001 Last Visit: 15/03/2021 |
| Patient Name | Mrs. KAKSHA BEGUM | Contact No | 9088985878 |
| Address | 9 BENGAL COAL LANE,BAIDYABATI(M) | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||