Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10550 | Date 13/01/2022 |
| Token No | SM/21-22/9953 18/02/2022 | Serial | 008 Last Visit: 18/02/2022 |
| Patient Name | Mrs. PUJA KUMARI MAHATO | Contact No | 7688015875 |
| Address | 22/A KM BHATTACHARJEE STREET | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||