Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10628 | Date 07/02/2022 |
| Token No | SM/21-22/10059 21/02/2022 | Serial | 007 Last Visit: 21/02/2022 |
| Patient Name | Mrs. ALOKA DUTTA | Contact No | 8013656596 |
| Address | PAHALAMPUR,HOOGHLY | Age | 57 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||