Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 10157 | Date 28/09/2021 |
| Token No | SM/21-22/5604 28/09/2021 | Serial | 036 Last Visit: 28/09/2021 |
| Patient Name | Miss PRIYA SENGUPTA | Contact No | 7059108953 |
| Address | HARIJAN PALLY BAIDHYABATI | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||