Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10098 | Date 16/09/2021 |
| Token No | SM/21-22/5176 16/09/2021 | Serial | 048 Last Visit: 20/12/2021 |
| Patient Name | Mrs. PRATIMA BAG | Contact No | 8961438922 |
| Address | KONNAGORE | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||