Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00292 | Date 10/08/2018 |
| Token No | SM/21-22/6346 28/10/2021 | Serial | 012 Last Visit: 22/11/2021 |
| Patient Name | Mrs. RENU ROY | Contact No | 9007482847 |
| Address | BAGER BAGAN TELI PARA , BAIDYABATI | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||