Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09398 | Date 26/03/2021 |
| Token No | SM/20-21/31217 26/03/2021 | Serial | 028 Last Visit: 19/07/2021 |
| Patient Name | Mrs. PRIYANKA KUMARI | Contact No | 6290344573 |
| Address | 2,CHAMPDANI BAIDYABATI | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||