Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09557 | Date 30/04/2021 |
| Token No | SM/21-22/1019 30/04/2021 | Serial | 013 Last Visit: 30/04/2021 |
| Patient Name | Mrs. RINA DANDA PATHAK | Contact No | 7596829894 |
| Address | 20/B MUSHALMAN PARA ROAD CHATRA SERAMPORE | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||