Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10089 | Date 15/09/2021 |
| Token No | SM/21-22/5128 15/09/2021 | Serial | 037 Last Visit: 15/09/2021 |
| Patient Name | Mrs. BISAKHA DUTTA | Contact No | |
| Address | UTTARPARA SAKHER BAZER ROAD | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||