Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10699 | Date 21/02/2022 |
| Token No | SM/21-22/10171 23/02/2022 | Serial | 022 Last Visit: 05/07/2022 |
| Patient Name | Mrs. MUNMUN DAS | Contact No | 9123376886 |
| Address | 29 A.P. GHOSH ROAD SERAMPORE | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||