Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10627 | Date 04/02/2022 |
| Token No | SM/21-22/10383 02/03/2022 | Serial | 029 Last Visit: 13/09/2022 |
| Patient Name | Mrs. MIRA ROY | Contact No | 8334864626 |
| Address | NATUNGRAM TARAKESWAR | Age | 67 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||