Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10118 | Date 23/09/2021 |
| Token No | SM/21-22/5377 23/09/2021 | Serial | 022 Last Visit: 23/09/2021 |
| Patient Name | Mrs. KAKALI DAS | Contact No | 7003152647 |
| Address | 132 A.P. GHOSH ROAD | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||