Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09721 | Date 14/06/2021 |
| Token No | SM/21-22/2256 14/06/2021 | Serial | 048 Last Visit: 14/06/2021 |
| Patient Name | Mrs. SONAKA DAS | Contact No | 9007863738 |
| Address | BAIDHYABATI | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||