Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09773 | Date 30/06/2021 |
| Token No | SM/21-22/2707 30/06/2021 | Serial | 013 Last Visit: 30/06/2021 |
| Patient Name | Mrs. SAHIDA BEGUM | Contact No | 9830333599 |
| Address | BAIDHYABATI | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||