Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09437 | Date 06/04/2021 |
| Token No | SM/21-22/186 06/04/2021 | Serial | 030 Last Visit: 20/04/2021 |
| Patient Name | Mrs. CHANDA DEVI | Contact No | 8583029740 |
| Address | 100A/A, TELI PARA,SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||