Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10222 | Date 23/10/2021 |
| Token No | SM/21-22/6353 28/10/2021 | Serial | 019 Last Visit: 29/11/2021 |
| Patient Name | Mrs. SABITA BANDURI | Contact No | 9674047816 |
| Address | 18/A MUKHERJEE PARA LANE,BAIDYABATI(M) | Age | 61 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||