Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09129 | Date 05/01/2021 |
| Token No | SM/20-21/29067 05/01/2021 | Serial | 083 Last Visit: 07/01/2021 |
| Patient Name | Mrs. TARA DAS | Contact No | 9804021569 |
| Address | 9 CHATRA DUTTA PARA LANE SERAMPORE | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||