Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09755 | Date 25/06/2021 |
| Token No | SM/21-22/2572 25/06/2021 | Serial | 039 Last Visit: 25/06/2021 |
| Patient Name | Mrs. PARMITA SETT | Contact No | 7439698973 |
| Address | LAHIRI PARA CHATRA SERAMPORE | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||