Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10990 | Date 10/05/2022 |
| Token No | SM/22-23/12445 13/05/2022 | Serial | 023 Last Visit: 19/05/2022 |
| Patient Name | Miss RINA PRAMANIK | Contact No | 7551057825 |
| Address | VILL+POST,=DAHARKUNDU,PS-ARAMBAGH, DIST-HOOGHLY,PIN-712617 | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||