Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10018 | Date 01/09/2021 |
| Token No | SM/21-22/4617 01/09/2021 | Serial | 015 Last Visit: 01/09/2021 |
| Patient Name | Mrs. DIPA PODDAR | Contact No | 7449345279 |
| Address | 46/1 SATCHASHI PARA LONGKAR BAGAN SERAMPORE | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||