Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10049 | Date 06/09/2021 |
| Token No | SM/21-22/4820 06/09/2021 | Serial | 052 Last Visit: 06/09/2021 |
| Patient Name | Miss SOMASREE MONDAL | Contact No | 8334029967 |
| Address | 41 HARIJAN ROAD,DAS PARA,BAIDYABATI(M) | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||