Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09723 | Date 14/06/2021 |
| Token No | SM/21-22/2264 14/06/2021 | Serial | 056 Last Visit: 14/06/2021 |
| Patient Name | Mrs. ADRIJA DEY | Contact No | 7890214430 |
| Address | 56/A/1 P N CHAKRABORTY LANE SERAMPORE | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||