Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10237 | Date 27/10/2021 |
| Token No | SM/21-22/6308 27/10/2021 | Serial | 001 Last Visit: 27/10/2021 |
| Patient Name | Miss SAYANI MONDAL | Contact No | 9681284921 |
| Address | MANIK GHOSHER BAGAN,BAIDYABATI(M) | Age | 15 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||