Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10350 | Date 27/11/2021 |
| Token No | SM/21-22/7267 27/11/2021 | Serial | 043 Last Visit: 27/11/2021 |
| Patient Name | Mrs. KOUSHALLYA DAS | Contact No | 9873566266 |
| Address | BAIDYABATI, | Age | 61 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||