Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 10266 | Date 08/11/2021 |
| Token No | SM/21-22/6659 08/11/2021 | Serial | 054 Last Visit: 08/11/2021 |
| Patient Name | Mrs. ARATI DEY | Contact No | |
| Address | PAMPANAGAR | Age | 40 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||