Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10243 | Date 27/10/2021 |
| Token No | SM/21-22/6324 27/10/2021 | Serial | 017 Last Visit: 02/12/2021 |
| Patient Name | Mrs. SUTAPA BANERJEE | Contact No | 8017517050 |
| Address | DHARMATALA LANE SERAMPORE | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||