Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09411 | Date 31/03/2021 |
| Token No | SM/20-21/31318 31/03/2021 | Serial | 002 Last Visit: 28/05/2021 |
| Patient Name | Mrs. SUMITA MUKHERJEE | Contact No | |
| Address | 70,E ,G.T ROAD SERAMPORE | Age | 75 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||