Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09657 | Date 28/05/2021 |
| Token No | SM/21-22/1833 01/06/2021 | Serial | 010 Last Visit: 24/09/2021 |
| Patient Name | Mrs. ANITA DUTTA | Contact No | 9748257640 |
| Address | 47/A CHATRA BARUI PARA LANE SERAMPORE | Age | 66 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||