Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10710 | Date 23/02/2022 |
| Token No | SM/21-22/10321 28/02/2022 | Serial | 027 Last Visit: 28/02/2022 |
| Patient Name | Mrs. RINKU KOLEY | Contact No | 8276023027 |
| Address | BAHARAMPUR BORA HOOGHLY | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||