Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09948 | Date 16/08/2021 |
| Token No | SM/21-22/4101 16/08/2021 | Serial | 025 Last Visit: 23/02/2022 |
| Patient Name | Mrs. RAJU DAS | Contact No | 6290015500 |
| Address | 6, N.C LAHIRI STREET SERAMPORE | Age | 39 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||