Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02746 | Date 31/12/2018 |
| Token No | SM/21-22/3857 09/08/2021 | Serial | 007 Last Visit: 09/08/2021 |
| Patient Name | Mrs. SHYAMALI DAS | Contact No | 7449927701 |
| Address | CHATRA DAS PARA SERAMPORE | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||