Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09306 | Date 09/03/2021 |
| Token No | SM/21-22/340 09/04/2021 | Serial | 009 Last Visit: 12/10/2022 |
| Patient Name | Mrs. SUDHA BANERJEE | Contact No | 9836640960 |
| Address | 16 RAM KRISHNA ROAD CHATRA BHATTCHARYA PARA , BAIDYABATI(M) | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||