Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04404 | Date 26/03/2019 |
| Token No | SM/21-22/4297 23/08/2021 | Serial | 041 Last Visit: 05/09/2022 |
| Patient Name | Mrs. CHAINA SAHA | Contact No | 8420411434 |
| Address | 21A CHATRA CHOWDHURY PARA LANE SERAMPORE | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||