Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 09668 | Date 02/06/2021 |
| Token No | SM/21-22/1871 02/06/2021 | Serial | 025 Last Visit: 02/06/2021 |
| Patient Name | Mrs. PUTUL DAS | Contact No | |
| Address | 20,RAMKRISHNA BYE LANE SERAMPORE | Age | 49 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||