Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11440 | Date 13/08/2022 |
| Token No | SM/22-23/15880 20/08/2022 | Serial | 013 Last Visit: 20/08/2022 |
| Patient Name | Mrs. SUMITRA MANDAL | Contact No | 8902235072 |
| Address | BAGAR BAGAN TALEPARA SERAMPORE | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||