Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 09884 | Date 28/07/2021 |
| Token No | SM/21-22/3574 28/07/2021 | Serial | 008 Last Visit: 28/07/2021 |
| Patient Name | Mrs. RATNA DAS | Contact No | 7278570582 |
| Address | 16/L S.C GHOSH LANE SERAMPORE | Age | 38 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||