Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 11924 | Date 15/02/2023 |
| Token No | SM/22-23/20824 24/03/2023 | Serial | 002 Last Visit: 24/03/2023 |
| Patient Name | Mrs. ANITA ROY | Contact No | 8910157081 |
| Address | 7 TARA PRASANNAYA BHATTACHARIYA STREET | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||