Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11880 | Date 21/01/2023 |
| Token No | SM/22-23/19961 21/01/2023 | Serial | 046 Last Visit: 21/01/2023 |
| Patient Name | Mrs. NAMITA GHOSAL | Contact No | 9051504569 |
| Address | 1 H.M. GOWAMI STREET | Age | 49 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||