Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09775 | Date 30/06/2021 |
| Token No | SM/21-22/2711 30/06/2021 | Serial | 017 Last Visit: 30/06/2021 |
| Patient Name | Mrs. SILA CHATTERJEE | Contact No | 9679768891 |
| Address | CHAKRABORTY LANE SERAMPORE | Age | 63 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||