Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 09875 | Date 26/07/2021 |
| Token No | SM/21-22/3514 26/07/2021 | Serial | 038 Last Visit: 26/07/2021 |
| Patient Name | Mrs. AMITA SARKAR | Contact No | 7278413329 |
| Address | 32/2 SAHIYETTO PORISHODH KOLKATTA 6 | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||