Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 12075 | Date 10/05/2023 |
| Token No | SM/22-23/21498 10/05/2023 | Serial | 019 Last Visit: 10/05/2023 |
| Patient Name | Mrs. PALLAVI GHOSH | Contact No | 9801061144 |
| Address | 53/A N.S. AVENUE | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||