Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10508 | Date 05/01/2022 |
| Token No | SM/21-22/10693 11/03/2022 | Serial | 046 Last Visit: 02/09/2022 |
| Patient Name | Mrs. SHAMPA DAS | Contact No | 9433975961 |
| Address | MORADAN SERAMPORE | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||