Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 10314 | Date 22/11/2021 |
| Token No | SM/21-22/6974 22/11/2021 | Serial | 014 Last Visit: 11/03/2022 |
| Patient Name | Mrs. TEGA KHATUN | Contact No | 7439809104 |
| Address | 10 T.C. GOSWAMI STREET | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||