Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10495 | Date 04/01/2022 |
| Token No | SM/21-22/9642 07/02/2022 | Serial | 032 Last Visit: 07/02/2022 |
| Patient Name | Mrs. HADISON BEGAM | Contact No | 7044703494 |
| Address | DANKUNI,COLD COMPLEX,HOOGHLY | Age | 39 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||