Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09435 | Date 06/04/2021 |
| Token No | SM/21-22/181 06/04/2021 | Serial | 025 Last Visit: 06/04/2021 |
| Patient Name | Mrs. PURNIMA HALA | Contact No | 9143253322 |
| Address | 5,K.M BHATTACHARJEE STREET SERAMPORE | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||