Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07964 | Date 30/03/2020 |
| Token No | SM/21-22/6851 16/11/2021 | Serial | 019 Last Visit: 30/05/2022 |
| Patient Name | Mrs. ALPANA KUNDU | Contact No | 9051399758 |
| Address | 11/A, MUSALMAN PARA ROAD | Age | 67 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||