Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09652 | Date 25/05/2021 |
| Token No | SM/21-22/2385 21/06/2021 | Serial | 028 Last Visit: 29/10/2021 |
| Patient Name | Mrs. PARBATI GHOSH | Contact No | 9433618618 |
| Address | 38/1DAKSHIN BHATTACHARYA PARA SERAMPORE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||