Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09910 | Date 05/08/2021 |
| Token No | SM/21-22/3776 05/08/2021 | Serial | 008 Last Visit: 05/08/2021 |
| Patient Name | Mrs. SOMA GANGULY | Contact No | 9748617394 |
| Address | 50,G.T ROAD CHATRA SERAMPORE | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||