Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09278 | Date 04/03/2021 |
| Token No | SM/21-22/4978 11/09/2021 | Serial | 007 Last Visit: 11/09/2021 |
| Patient Name | Mrs. ABHAYPADA BAG | Contact No | 8274009881 |
| Address | BAHABPUR,BARDDHAMAN | Age | 65 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||