Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10418 | Date 14/12/2021 |
| Token No | SM/21-22/8991 17/01/2022 | Serial | 007 Last Visit: 17/01/2022 |
| Patient Name | Mrs. TUMPA KUNDU | Contact No | 9830183516 |
| Address | 16 NO BARIN GHOSH LANE | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||