Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10145 | Date 27/09/2021 |
| Token No | SM/21-22/5548 27/09/2021 | Serial | 046 Last Visit: 27/09/2021 |
| Patient Name | Mrs. CHHABI DUTTA | Contact No | 9903368278 |
| Address | 93,BARUIPARA LANE CHATRA SERAMPORE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||