Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09135 | Date 06/01/2021 |
| Token No | SM/20-21/29099 06/01/2021 | Serial | 032 Last Visit: 06/01/2021 |
| Patient Name | Miss MANISHA PAKIRA | Contact No | 7596915165 |
| Address | 55 DHARMOTALA LANE CHATRA SERAMPORE | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||