Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09719 | Date 14/06/2021 |
| Token No | SM/21-22/2238 14/06/2021 | Serial | 030 Last Visit: 14/06/2021 |
| Patient Name | Mrs. PRIYA DAS | Contact No | 8697630272 |
| Address | 7/B DAS PARA HARIJAN ROAD SERAMPORE | Age | 10 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||