Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10197 | Date 09/10/2021 |
| Token No | SM/21-22/5939 09/10/2021 | Serial | 012 Last Visit: 09/10/2021 |
| Patient Name | Mrs. RUPALI ROY | Contact No | 7980656509 |
| Address | 24 TELIPARA BAGHER BAGAN,BAIDYABATI(M) | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||