Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07386 | Date 21/01/2020 |
| Token No | SM/21-22/1593 21/05/2021 | Serial | 009 Last Visit: 16/07/2022 |
| Patient Name | Mrs. SANCHITA LAHA | Contact No | 7980778949 |
| Address | 11 KUMAR PATTI LANE | Age | 60YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||