Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10694 | Date 21/02/2022 |
| Token No | SM/21-22/10358 02/03/2022 | Serial | 004 Last Visit: 26/07/2022 |
| Patient Name | Mrs. RATNA DUTTA | Contact No | 9804445755 |
| Address | PAHALAMPUR HARIPUR HOOGHLY | Age | 43 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||