Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09228 | Date 29/01/2021 |
| Token No | SM/21-22/2773 02/07/2021 | Serial | 046 Last Visit: 02/07/2021 |
| Patient Name | Mrs. SARASWATI ROY | Contact No | 9062765360 |
| Address | CHOTO BELUR SADDARPARA | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||