Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09431 | Date 05/04/2021 |
| Token No | SM/21-22/359 09/04/2021 | Serial | 028 Last Visit: 09/04/2021 |
| Patient Name | Mrs. SOUTIPA DALAL | Contact No | 7450863909 |
| Address | 73,SATCHASHI PARA BAIDHYABATI | Age | 31 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||