Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10220 | Date 23/10/2021 |
| Token No | SM/21-22/6146 23/10/2021 | Serial | 013 Last Visit: 23/10/2021 |
| Patient Name | Mrs. SABRA KHATOON | Contact No | 9874932160 |
| Address | KAZI PARA DHANMATH, BAIDYABATI(M) | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||