Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08333 | Date 11/06/2020 |
| Token No | SM/19-20/22984 11/06/2020 | Serial | 034 Last Visit: 12/04/2023 |
| Patient Name | Mrs. BINA DAS | Contact No | 7044348351 |
| Address | 7/1/A HARIJAN ROAD SERAMPORE, BAIDYABATI(M) | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||