Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09407 | Date 30/03/2021 |
| Token No | SM/21-22/1063 03/05/2021 | Serial | 011 Last Visit: 12/03/2022 |
| Patient Name | Mrs. RENUKA PAL | Contact No | 9836467309 |
| Address | 49,A.A.P.GHOSH ROAD CHATRA SERAMPORE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||