Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09611 | Date 12/05/2021 |
| Token No | SM/21-22/1620 22/05/2021 | Serial | 009 Last Visit: 11/12/2023 |
| Patient Name | Mrs. ANJALI DAS | Contact No | |
| Address | SERAMPORE CHATRA | Age | 35 Years,11 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||