Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10139 | Date 27/09/2021 |
| Token No | SM/21-22/5514 27/09/2021 | Serial | 012 Last Visit: 22/10/2021 |
| Patient Name | Miss SNEHA PARAMANIK | Contact No | 9831616590 |
| Address | 22/A P. N. CHAKRABORTY LANE | Age | 15 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||