Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09873 | Date 26/07/2021 |
| Token No | SM/21-22/3498 26/07/2021 | Serial | 022 Last Visit: 26/07/2021 |
| Patient Name | Mrs. SHIKHA SANTRA | Contact No | 9062333767 |
| Address | MADPUR MALLICKPARA | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||