Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01361 | Date 26/09/2018 |
| Token No | SM/21-22/7058 23/11/2021 | Serial | 024 Last Visit: 20/09/2022 |
| Patient Name | Mrs. SUKLA BHATTCHARIYA | Contact No | 9051483698 |
| Address | 77 MUKHARJEE PARA LANE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||