Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10027 | Date 02/09/2021 |
| Token No | SM/21-22/4642 02/09/2021 | Serial | 004 Last Visit: 02/09/2021 |
| Patient Name | Mrs. MAYURAKSHI LAHA | Contact No | 9433514503 |
| Address | 6/D PATUA PARA LANE SERAMPORE | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||