Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09152 | Date 11/01/2021 |
| Token No | SM/20-21/29241 11/01/2021 | Serial | 003 Last Visit: 11/01/2021 |
| Patient Name | Mrs. UMA SINGHA | Contact No | 9051313267 |
| Address | 69/A /1/A GT ROAD WEST SERAMPORE M | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||