Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09415 | Date 01/04/2021 |
| Token No | SM/21-22/16 01/04/2021 | Serial | 016 Last Visit: 01/04/2021 |
| Patient Name | Mrs. MAMONI DEBNATH | Contact No | 8420856264 |
| Address | 515,G.T ROAD CHATRA BAIDHYABATI | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||