Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09759 | Date 28/06/2021 |
| Token No | SM/21-22/2620 28/06/2021 | Serial | 013 Last Visit: 28/06/2021 |
| Patient Name | Mrs. MINATI MAJUMDAR | Contact No | |
| Address | BAIDYABATI | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||