Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09844 | Date 15/07/2021 |
| Token No | SM/21-22/3327 22/07/2021 | Serial | 004 Last Visit: 22/07/2021 |
| Patient Name | Mrs. ANJANA DUTTA | Contact No | 9143746263 |
| Address | 183(144)SITALATALA ROAD,BAIDYABATI(M) | Age | 58 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||