Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11028 | Date 20/05/2022 |
| Token No | SM/22-23/12717 20/05/2022 | Serial | 043 Last Visit: 20/05/2022 |
| Patient Name | Mrs. SARASWATI PAL | Contact No | 9051623182 |
| Address | 208 TENTUL TALA BAZAR BAIDYABTI (M) | Age | 42 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||