Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10180 | Date 05/10/2021 |
| Token No | SM/21-22/5798 05/10/2021 | Serial | 049 Last Visit: 06/12/2022 |
| Patient Name | Mrs. TINKU LAHA | Contact No | 9674165643 |
| Address | 6/B LAHIRI LANE SERAMPORE | Age | 41 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||