Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11386 | Date 04/08/2022 |
| Token No | SM/22-23/15347 04/08/2022 | Serial | 008 Last Visit: 04/08/2022 |
| Patient Name | Miss SHREYSRI BISWAS | Contact No | 8777851550 |
| Address | RISHRA | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||