Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 09551 | Date 29/04/2021 |
| Token No | SM/21-22/3714 03/08/2021 | Serial | 010 Last Visit: 16/11/2021 |
| Patient Name | Mrs. SOMA MUKHERJEE | Contact No | 8240766337 |
| Address | S.C GHOSH LANE SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||