Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04310 | Date 20/03/2019 |
| Token No | SM/21-22/5187 17/09/2021 | Serial | 010 Last Visit: 30/07/2022 |
| Patient Name | Mrs. MEHRUN NESA | Contact No | 6291558495 |
| Address | RISHRA HOOGHLY | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||