Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09263 | Date 02/03/2021 |
| Token No | SM/21-22/1713 25/05/2021 | Serial | 020 Last Visit: 02/02/2022 |
| Patient Name | Mrs. BABY GHOSH | Contact No | 8820897616 |
| Address | BOBAGAN,SHIV TALA | Age | 48 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||