Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 10196 | Date 08/10/2021 |
| Token No | SM/21-22/5913 08/10/2021 | Serial | 035 Last Visit: 08/10/2021 |
| Patient Name | Mrs. PORINITA DUTTA | Contact No | 8481060887 |
| Address | 10,DULEYPARA LANE SERAMPORE | Age | 32 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||