Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10766 | Date 09/03/2022 |
| Token No | SM/21-22/10623 09/03/2022 | Serial | 007 Last Visit: 09/03/2022 |
| Patient Name | Mrs. ARPITA BHATTACHARYA | Contact No | 7890044142 |
| Address | 6/CTHAKUR DAS BABU LANE | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||