Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10088 | Date 15/09/2021 |
| Token No | SM/21-22/5112 15/09/2021 | Serial | 021 Last Visit: 15/09/2021 |
| Patient Name | Mrs. ALO PATRA | Contact No | 842029164 |
| Address | PANCHANANTALA SERAMPORE | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||