Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09763 | Date 28/06/2021 |
| Token No | SM/21-22/2651 28/06/2021 | Serial | 044 Last Visit: 28/06/2021 |
| Patient Name | Mrs. REBA MANNA | Contact No | |
| Address | 99,NETAJI SUBHAS AVENUE SERAMPORE | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||