Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09460 | Date 12/04/2021 |
| Token No | SM/21-22/961 29/04/2021 | Serial | 007 Last Visit: 29/04/2021 |
| Patient Name | Mrs. SUPRIYA KHATUN | Contact No | 7029351799 |
| Address | DHAPDHARA HOOGHLY | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||