Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09981 | Date 24/08/2021 |
| Token No | SM/21-22/4359 24/08/2021 | Serial | 048 Last Visit: 04/04/2023 |
| Patient Name | Mrs. REBA DAS | Contact No | 8017931544 |
| Address | 48/1 LANKAR BAGAN SERAMPORE | Age | 63 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||