Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09683 | Date 07/06/2021 |
| Token No | SM/21-22/1987 07/06/2021 | Serial | 026 Last Visit: 28/01/2022 |
| Patient Name | Miss MANJURI DAS | Contact No | 9830806858 |
| Address | 244/2 RAJYADHARPUR GOV.T COLONY SERAMPORE | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||