Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10298 | Date 17/11/2021 |
| Token No | SM/21-22/6907 17/11/2021 | Serial | 034 Last Visit: 17/11/2021 |
| Patient Name | Mrs. KRISHNA BENI PRADHAN | Contact No | 6289054883 |
| Address | 2 NO GOPAL GANGULY LANE | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||