Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11419 | Date 10/08/2022 |
| Token No | SM/22-23/15597 10/08/2022 | Serial | 027 Last Visit: 10/08/2022 |
| Patient Name | Mrs. MANTU DAS | Contact No | 9163832346 |
| Address | 32 A.P. GHOSH ROAD | Age | 53 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||