Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11077 | Date 30/05/2022 |
| Token No | SM/22-23/13554 14/06/2022 | Serial | 034 Last Visit: 14/06/2022 |
| Patient Name | Mrs. UMA PRAMANIK | Contact No | 7551057825 |
| Address | VILL+PO=DAHARKUNDU,PS-ARAMBAGH,DIST-HOOGHLY.PIN-712617 | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||