Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09941 | Date 14/08/2021 |
| Token No | SM/21-22/4064 14/08/2021 | Serial | 023 Last Visit: 14/08/2021 |
| Patient Name | Miss RITIKA BANERJEE | Contact No | 7042122232 |
| Address | 54, K.K MUKHERJEE SARANI CHATRA SERAMPORE | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||