Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00431 | Date 14/08/2018 |
| Token No | SM/20-21/28061 04/12/2020 | Serial | 012 Last Visit: 30/12/2021 |
| Patient Name | Mrs. SUBHRA LAHA | Contact No | 9903594839 |
| Address | 13A, DUTTA PARA, SERAMPORE | Age | 53 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||