Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08649 | Date 18/08/2020 |
| Token No | SM/21-22/4108 16/08/2021 | Serial | 032 Last Visit: 18/08/2023 |
| Patient Name | Miss PRITI SAROJ | Contact No | 6291396332 |
| Address | 18.K.M BHATTACHARYA STREET | Age | 19 Years,4 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||