Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10754 | Date 05/03/2022 |
| Token No | SM/21-22/10526 05/03/2022 | Serial | 029 Last Visit: 05/03/2022 |
| Patient Name | Mrs. LAKSHMIRANI DAS | Contact No | 9330588182 |
| Address | 29 A.P. GHOSH ROAD CHATRA SERAMPORE | Age | 67 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||