Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08981 | Date 18/11/2020 |
| Token No | SM/20-21/27611 18/11/2020 | Serial | 033 Last Visit: 18/11/2020 |
| Patient Name | Mrs. PURNIMA DAS | Contact No | 8420705566 |
| Address | 38/A DHARMATALA LANE CHATRA SERAMPORE | Age | 43 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||