Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09805 | Date 06/07/2021 |
| Token No | SM/21-22/2919 06/07/2021 | Serial | 049 Last Visit: 06/07/2021 |
| Patient Name | Mrs. TANDRA CHAKRABORTY | Contact No | |
| Address | TRIBHANI | Age | 53 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||