Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09662 | Date 31/05/2021 |
| Token No | SM/21-22/1818 31/05/2021 | Serial | 027 Last Visit: 19/07/2021 |
| Patient Name | Mrs. SUBHADRA DAS | Contact No | 7059586137 |
| Address | 47/31 HARIJAN ROAD BAIDHYABATI | Age | 16 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||