Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 10039 | Date 03/09/2021 |
| Token No | SM/21-22/4706 03/09/2021 | Serial | 026 Last Visit: 03/09/2021 |
| Patient Name | Mrs. SUJATA DAS | Contact No | 9062455961 |
| Address | 11,MUCHI PARA LANE SERAMPORE | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||