Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07535 | Date 14/02/2020 |
| Token No | SM/19-20/18105 15/02/2020 | Serial | 004 Last Visit: 26/06/2021 |
| Patient Name | Mrs. SEFALI BASU | Contact No | 9230573006 |
| Address | 3/A/1,CHATRA BAZER ROAD | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||