Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09898 | Date 02/08/2021 |
| Token No | SM/21-22/3851 09/08/2021 | Serial | 001 Last Visit: 18/08/2021 |
| Patient Name | Mrs. RITA DAS | Contact No | 9800300721 |
| Address | 14/E S.C CHATTERJEE SARANI SERAMPORE | Age | 57 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||