Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11999 | Date 22/03/2023 |
| Token No | SM/22-23/21160 17/04/2023 | Serial | 016 Last Visit: 17/04/2023 |
| Patient Name | Mrs. MADHUMITA MUKHERJEE | Contact No | 8337039392 |
| Address | 22 NABIN CHAKRABORTY LANE , BAIDYABATI (M) | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||