Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 11424 | Date 11/08/2022 |
| Token No | SM/22-23/15630 11/08/2022 | Serial | 029 Last Visit: 11/08/2022 |
| Patient Name | Mrs. AFSANA KHATUN | Contact No | 8620018380 |
| Address | 50/G KAJI PARA BAIDYABATI(M) HOOGHLY | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||