Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10008 | Date 31/08/2021 |
| Token No | SM/21-22/4576 31/08/2021 | Serial | 029 Last Visit: 31/08/2021 |
| Patient Name | Mrs. LAKSHMI RANI MONDAL | Contact No | 8697442944 |
| Address | 72/H GODAR BAGAN BYE LANE SERAMPORE | Age | 63 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||