Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06352 | Date 07/09/2019 |
| Token No | SM/21-22/159 06/04/2021 | Serial | 003 Last Visit: 02/08/2021 |
| Patient Name | Mrs. MAMATA HATUI | Contact No | 9163719701 |
| Address | 38 SAINI PARA LANE SERAMPORE MALLICKPARA | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||