Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09704 | Date 10/06/2021 |
| Token No | SM/21-22/2708 30/06/2021 | Serial | 014 Last Visit: 10/08/2022 |
| Patient Name | Mrs. PINKI PAL | Contact No | 8479962268 |
| Address | BAIDHYABATI | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||