Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03274 | Date 01/02/2019 |
| Token No | SM/21-22/2747 02/07/2021 | Serial | 020 Last Visit: 02/02/2022 |
| Patient Name | Mrs. RUPA KHAN | Contact No | 8820301118 |
| Address | CHATRA,LANKER BAGAN,BAIDYABATY(M) | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||