Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11441 | Date 16/08/2022 |
| Token No | SM/22-23/15736 16/08/2022 | Serial | 005 Last Visit: 16/08/2022 |
| Patient Name | Mrs. KABITA GHOSH | Contact No | 7278573626 |
| Address | 4 C VIVEKANANDA LANE | Age | 49 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||