Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10163 | Date 01/10/2021 |
| Token No | SM/21-22/5721 04/10/2021 | Serial | 042 Last Visit: 04/10/2021 |
| Patient Name | Mrs. SUJATA PRAMANIK | Contact No | 7890616167 |
| Address | PAHALAMPUR | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||