Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10390 | Date 07/12/2021 |
| Token No | SM/21-22/7752 14/12/2021 | Serial | 013 Last Visit: 31/12/2021 |
| Patient Name | Mrs. REKHA PANJA | Contact No | 9073592361 |
| Address | CHATRA,SHITALA TALA ,BAIDYABATI(M) | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||