Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10173 | Date 04/10/2021 |
| Token No | SM/21-22/7644 10/12/2021 | Serial | 007 Last Visit: 10/12/2021 |
| Patient Name | Mrs. KALABATI DEVI | Contact No | 9038952388 |
| Address | 301/17/C TELIPARA BAIDHYABATI SERAMPORE | Age | 55 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||