Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11423 | Date 11/08/2022 |
| Token No | SM/22-23/15625 11/08/2022 | Serial | 024 Last Visit: 11/08/2022 |
| Patient Name | Mrs. SOBITA ROY | Contact No | 9836192202 |
| Address | NAGA BAZAR SERAMPORE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||