Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09457 | Date 12/04/2021 |
| Token No | SM/21-22/379 12/04/2021 | Serial | 014 Last Visit: 12/04/2021 |
| Patient Name | Mrs. NABANITA GUIN | Contact No | 9230662293 |
| Address | 19,DUTTA PARA LANE CHATRA SERAMPORE | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||