Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09703 | Date 10/06/2021 |
| Token No | SM/21-22/2109 10/06/2021 | Serial | 016 Last Visit: 10/06/2021 |
| Patient Name | Mrs. SOMA SARKAR | Contact No | 9836878330 |
| Address | CHARTA SITALA TALA SERAMPORE | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||