Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08337 | Date 12/06/2020 |
| Token No | SM/19-20/23003 12/06/2020 | Serial | 009 Last Visit: 12/06/2020 |
| Patient Name | Mrs. PRATIMA LAHA | Contact No | |
| Address | 101 BARUI PARA LANE CHATRA SERAMPORE | Age | 67 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||