Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02392 | Date 07/12/2018 |
| Token No | SM/21-22/6835 16/11/2021 | Serial | 003 Last Visit: 16/11/2021 |
| Patient Name | Mrs. PRIYA DUTTA | Contact No | 9875328084 |
| Address | 17 ROY M C LAHIRI BHADUR STREET | Age | 24 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||