Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09218 | Date 27/01/2021 |
| Token No | SM/20-21/29810 27/01/2021 | Serial | 034 Last Visit: 05/03/2021 |
| Patient Name | Mrs. KEYA CHAKRABORTY | Contact No | 6291724271 |
| Address | 9 CHANDRA MOHAN ROY LANE SERAMPORE | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||