Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09852 | Date 16/07/2021 |
| Token No | SM/21-22/3530 27/07/2021 | Serial | 007 Last Visit: 27/07/2021 |
| Patient Name | Mrs. SARASWATI KUNDU | Contact No | 9022399935 |
| Address | 1,LAHIRI LANE SERAMPORE | Age | 65 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||