Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09576 | Date 03/05/2021 |
| Token No | SM/21-22/1081 03/05/2021 | Serial | 029 Last Visit: 03/05/2021 |
| Patient Name | Mrs. SANDHYA BHOWMICK | Contact No | 6289466980 |
| Address | PAMPA NAGAR BAIDHYABATI | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||