Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10028 | Date 02/09/2021 |
| Token No | SM/21-22/4661 02/09/2021 | Serial | 023 Last Visit: 02/09/2021 |
| Patient Name | Mrs. SUSHMITA DUTTA | Contact No | 8910856129 |
| Address | 34,THAKUR DAS BABU LANE SERAMPORE | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||