Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09448 | Date 07/04/2021 |
| Token No | SM/21-22/261 07/04/2021 | Serial | 036 Last Visit: 07/04/2021 |
| Patient Name | Mrs. RATNA DAS | Contact No | 7052586137 |
| Address | 47/31,CHATRA DAS PARA SERAMPORE | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||