Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09275 | Date 03/03/2021 |
| Token No | SM/21-22/6400 29/10/2021 | Serial | 028 Last Visit: 08/11/2021 |
| Patient Name | Mrs. BHARATI DATTA | Contact No | 9804159159 |
| Address | 49/2 SITALA TALA ROAD,BAIDYABATI(M) | Age | 67 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||