Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12213 | Date 10/07/2023 |
| Token No | SM/22-23/22717 10/07/2023 | Serial | 018 Last Visit: 10/07/2023 |
| Patient Name | Mrs. PIA CHOWDHURY | Contact No | 9051488324 |
| Address | 10/C RAI M C LAHIRI BAHADUR STREET | Age | 65 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 126/86 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||