Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 09254 | Date 01/03/2021 |
| Token No | SM/21-22/113 05/04/2021 | Serial | 026 Last Visit: 05/04/2021 |
| Patient Name | Mrs. RUMA DEBNATH | Contact No | 8777399031 |
| Address | 188 RAMKRISHNA ROAD BAIDYABATI M | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||