Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10216 | Date 23/10/2021 |
| Token No | SM/21-22/6137 23/10/2021 | Serial | 004 Last Visit: 23/10/2021 |
| Patient Name | Miss SHOBA DUTTA | Contact No | 8420687309 |
| Address | PAHALAMPUR,SINGUR HOOGHLY | Age | 46YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||