Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09287 | Date 05/03/2021 |
| Token No | SM/20-21/30432 05/03/2021 | Serial | 054 Last Visit: 18/08/2021 |
| Patient Name | Mrs. RUPA MALLK | Contact No | 9830497269 |
| Address | 4 BHADURI PARA,SERAMPORE | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||