Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09454 | Date 08/04/2021 |
| Token No | SM/21-22/317 08/04/2021 | Serial | 041 Last Visit: 08/04/2021 |
| Patient Name | Miss ARIMITA GHOSH | Contact No | 9836908394 |
| Address | 1,CHANPATALA LANE, CHATRA SERAMPORE | Age | 31 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||