Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10083 | Date 14/09/2021 |
| Token No | SM/21-22/5090 14/09/2021 | Serial | 026 Last Visit: 14/09/2021 |
| Patient Name | Mrs. SAMSUNESSA BEGUM | Contact No | |
| Address | AKUNI, HOOGHLY | Age | 70 Y Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||