Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09995 | Date 27/08/2021 |
| Token No | SM/21-22/4472 27/08/2021 | Serial | 007 Last Visit: 27/08/2021 |
| Patient Name | Mrs. SONAMANI DUTTA | Contact No | 9804976466 |
| Address | PAHALAMPUR | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||