Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09424 | Date 05/04/2021 |
| Token No | SM/21-22/297 08/04/2021 | Serial | 021 Last Visit: 08/04/2021 |
| Patient Name | Mrs. NITA DAS | Contact No | 9748550064 |
| Address | 5.SIDDHESWARI LANE SERAMPORE, | Age | 61 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||