Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 10038 | Date 03/09/2021 |
| Token No | SM/21-22/5271 20/09/2021 | Serial | 041 Last Visit: 13/01/2022 |
| Patient Name | Miss MAYA DAS | Contact No | 9007611827 |
| Address | 244/2 RAJYADHARPUR GOV.T COLONY SERAMPORE | Age | 32 yrs Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||