Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 09063 | Date 17/12/2020 |
| Token No | SM/21-22/2667 29/06/2021 | Serial | 008 Last Visit: 29/06/2021 |
| Patient Name | Mrs. PRIYA DAS | Contact No | 9330836651 |
| Address | 2/127 MAHESH COLONY MAHESH SERAMPORE | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||