Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10524 | Date 07/01/2022 |
| Token No | SM/21-22/9730 09/02/2022 | Serial | 022 Last Visit: 28/07/2022 |
| Patient Name | Mrs. RINKI CHAUDHURY | Contact No | 858389770 |
| Address | 7, CHARKI GATE MUKHERJEE PARA | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||