Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11006 | Date 13/05/2022 |
| Token No | SM/22-23/12550 17/05/2022 | Serial | 060 Last Visit: 31/10/2022 |
| Patient Name | Mrs. HASMAN TARA | Contact No | 8407830135 |
| Address | CHATRA, HOOGHLY | Age | 23 Y Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||