Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09776 | Date 30/06/2021 |
| Token No | SM/21-22/2814 03/07/2021 | Serial | 029 Last Visit: 03/07/2021 |
| Patient Name | Mrs. RUPA CHATTERJEE | Contact No | 9679768891 |
| Address | CHAKRABORTY LANE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||