Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 09924 | Date 11/08/2021 |
| Token No | SM/21-22/3941 11/08/2021 | Serial | 004 Last Visit: 11/08/2021 |
| Patient Name | Miss RIMA SANTRA | Contact No | 9433612989 |
| Address | 75,PEARAPUR BAIDYABATI | Age | 14 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||