Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 10801 | Date 14/03/2022 |
| Token No | SM/22-23/11680 12/04/2022 | Serial | 028 Last Visit: 09/06/2022 |
| Patient Name | Mrs. RINA BHATTACHARJEE | Contact No | 9144214241 |
| Address | BAHIR KHAND HOOGHLY | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||