Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09943 | Date 14/08/2021 |
| Token No | SM/21-22/4073 14/08/2021 | Serial | 032 Last Visit: 14/08/2021 |
| Patient Name | Mrs. SUNIPA MUKHERJEE | Contact No | 9804530509 |
| Address | 304,GOPAL NIBASH CHATRA SERAMPORE | Age | 32 yrs Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||