Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10894 | Date 08/04/2022 |
| Token No | SM/22-23/11531 08/04/2022 | Serial | 005 Last Visit: 08/04/2022 |
| Patient Name | Mrs. SOMNATH DUTTA | Contact No | |
| Address | RISHRA HOOGHLY 166, BAGER BAGAN BAIDYABATI (M) | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||