Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09651 | Date 25/05/2021 |
| Token No | SM/21-22/1696 25/05/2021 | Serial | 003 Last Visit: 25/05/2021 |
| Patient Name | Mrs. KALPANA MAITY | Contact No | 8013300424 |
| Address | 75/96 D.RAMKRISHNA ROAD SERAMPORE | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||