Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04334 | Date 20/03/2019 |
| Token No | SM/21-22/1162 05/05/2021 | Serial | 021 Last Visit: 05/05/2021 |
| Patient Name | Mrs. PIYALI NANDI | Contact No | 9830453899 |
| Address | 41 CHATRA DUTTA PARA LANE SERAPORE | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||