Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09962 | Date 19/08/2021 |
| Token No | SM/21-22/6809 15/11/2021 | Serial | 011 Last Visit: 15/11/2021 |
| Patient Name | Mrs. MITRA BHATTACHARYYA | Contact No | 8101784328 |
| Address | 25/B ROY M. C. LEHIRI BAHADUR STREET | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||