Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09447 | Date 07/04/2021 |
| Token No | SM/21-22/260 07/04/2021 | Serial | 035 Last Visit: 07/04/2021 |
| Patient Name | Miss NIBEDITA KARMAKAR | Contact No | 9088570060 |
| Address | 1/B CHATRA SERAMPORE | Age | 16 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||