Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10462 | Date 28/12/2021 |
| Token No | SM/21-22/9452 29/01/2022 | Serial | 020 Last Visit: 29/01/2022 |
| Patient Name | Mrs. ROSHANARA KHATUN | Contact No | 9088871489 |
| Address | 7/E JAHARLAL NEHERU SARANI,KONNAGAR | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||