Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09256 | Date 01/03/2021 |
| Token No | SM/20-21/30215 01/03/2021 | Serial | 035 Last Visit: 01/03/2021 |
| Patient Name | Mrs. MANISHA GUIN KHAN | Contact No | 8420599915 |
| Address | 39/A/1 BARUI PARA LANE SERAMPORE | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||