Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10247 | Date 29/10/2021 |
| Token No | SM/21-22/6380 29/10/2021 | Serial | 008 Last Visit: 29/10/2021 |
| Patient Name | Mrs. NILIMA DAS | Contact No | 9830637387 |
| Address | 9 JAGA MOHOAN LAHIRI LANE | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||