Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09525 | Date 23/04/2021 |
| Token No | SM/21-22/750 23/04/2021 | Serial | 003 Last Visit: 23/04/2021 |
| Patient Name | Mrs. SWEETY DUTTA | Contact No | 8981161452 |
| Address | PAHALAMPUR,HOOGHLY | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||