Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09613 | Date 12/05/2021 |
| Token No | SM/21-22/1346 12/05/2021 | Serial | 019 Last Visit: 12/05/2021 |
| Patient Name | Mrs. SUKLA BANERJEE | Contact No | 8697602759 |
| Address | UTTARPARA, MAKHLA, HOOGHLY | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||