Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10229 | Date 25/10/2021 |
| Token No | SM/21-22/6231 25/10/2021 | Serial | 053 Last Visit: 25/10/2021 |
| Patient Name | Mrs. FLROJA BIBI | Contact No | |
| Address | BARABELU HOOGHLY | Age | 60 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||