Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09444 | Date 07/04/2021 |
| Token No | SM/21-22/247 07/04/2021 | Serial | 022 Last Visit: 07/04/2021 |
| Patient Name | Mrs. MINATI PARUI | Contact No | 9123924825 |
| Address | 4/A SUDHIR CHANDRA LANE CHATRA SERAMPORE | Age | 68 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||