Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09968 | Date 21/08/2021 |
| Token No | SM/21-22/6178 23/10/2021 | Serial | 045 Last Visit: 23/10/2021 |
| Patient Name | Mrs. SAMPA DAS | Contact No | 8583042253 |
| Address | CHINSURAH | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||