Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10240 | Date 27/10/2021 |
| Token No | SM/21-22/6319 27/10/2021 | Serial | 012 Last Visit: 01/11/2021 |
| Patient Name | Mrs. PUNAM DAS | Contact No | 6291621794 |
| Address | 20,TIN BAZAR SERAMPORE | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||