Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09679 | Date 05/06/2021 |
| Token No | SM/21-22/4693 03/09/2021 | Serial | 013 Last Visit: 03/09/2021 |
| Patient Name | Mrs. SEFALI BANERJEE | Contact No | |
| Address | CHATRA DHARMATALA SERAMPORE | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||