Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10911 | Date 11/04/2022 |
| Token No | SM/22-23/11739 18/04/2022 | Serial | 027 Last Visit: 18/08/2022 |
| Patient Name | Miss MOUMITA SAMANTA | Contact No | 9073785023 |
| Address | 65(20) MUKHERJEE PARA ,BAIDYABATI(M) | Age | 21 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||