Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10228 | Date 25/10/2021 |
| Token No | SM/21-22/6227 25/10/2021 | Serial | 049 Last Visit: 25/10/2021 |
| Patient Name | Mrs. SUKLA KAYAL | Contact No | 8272905059 |
| Address | CHATRA SERAMPORE | Age | 26 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||