Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09461 | Date 12/04/2021 |
| Token No | SM/21-22/1278 10/05/2021 | Serial | 026 Last Visit: 10/05/2021 |
| Patient Name | Mrs. BANDANA GHOSH | Contact No | 9836908394 |
| Address | 1,CHAPA TALA LANE CHATRA SERAMPORE | Age | 79 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||