Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10025 | Date 02/09/2021 |
| Token No | SM/21-22/4639 02/09/2021 | Serial | 001 Last Visit: 02/09/2021 |
| Patient Name | Mrs. JAYEETA SEN | Contact No | 8240108909 |
| Address | 25, CHOWDHURY PARA SERAMPORE | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||