Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01447 | Date 01/10/2018 |
| Token No | SM/21-22/4411 25/08/2021 | Serial | 029 Last Visit: 25/08/2021 |
| Patient Name | Mrs. ATASHI SANYAL | Contact No | 9748165568 |
| Address | 6, CHATRA LAHIRA PARA | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||