Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09403 | Date 26/03/2021 |
| Token No | SM/20-21/31240 26/03/2021 | Serial | 051 Last Visit: 23/06/2021 |
| Patient Name | Mrs. RUPASI ACHARYYA | Contact No | 8420207361 |
| Address | 30,AKRA BATI LANE ,SERAMPORE | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||