Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09372 | Date 20/03/2021 |
| Token No | SM/21-22/1969 07/06/2021 | Serial | 008 Last Visit: 07/06/2021 |
| Patient Name | Mrs. GOURI BASU | Contact No | 9230573006 |
| Address | 3/A/1 CHATRA BAZAR ROAD SERAMPORE | Age | 41 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||