Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09385 | Date 23/03/2021 |
| Token No | SM/20-21/31107 23/03/2021 | Serial | 044 Last Visit: 23/03/2021 |
| Patient Name | Mrs. SUKLA RAY | Contact No | 6289278255 |
| Address | 7 LAHIRI PARA LANE CHATRA SERAMPORE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||