Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09132 | Date 06/01/2021 |
| Token No | SM/20-21/29825 28/01/2021 | Serial | 004 Last Visit: 11/04/2022 |
| Patient Name | Mrs. MONALISA SANTRA | Contact No | 9732560058 |
| Address | 13/C CHATRA CHOWDHURY PARA SERAMPORE | Age | 31 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||