Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09478 | Date 19/04/2021 |
| Token No | SM/21-22/545 19/04/2021 | Serial | 012 Last Visit: 19/04/2021 |
| Patient Name | Mrs. MAMATA DAS | Contact No | 8967222108 |
| Address | BAIDHYABATI | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||