Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05009 | Date 03/05/2019 |
| Token No | SM/20-21/30475 06/03/2021 | Serial | 032 Last Visit: 15/12/2021 |
| Patient Name | Mrs. ABEDA MONDAL | Contact No | 8240852522 |
| Address | CHATRA KUMAR PARA SERAMPORE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||