Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09329 | Date 16/03/2021 |
| Token No | SM/20-21/30774 16/03/2021 | Serial | 012 Last Visit: 16/03/2021 |
| Patient Name | Mrs. SUMITA SEAL | Contact No | 9830570138 |
| Address | 26 BHADURI LANE SERAMPORE CHATRA | Age | 41 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||