Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 09854 | Date 17/07/2021 |
| Token No | SM/21-22/3257 17/07/2021 | Serial | 009 Last Visit: 17/07/2021 |
| Patient Name | Mrs. MANORAMA MUKHERJEE | Contact No | |
| Address | CHARABAGAN BAIDHYABATI | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||