Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10227 | Date 25/10/2021 |
| Token No | SM/21-22/6446 30/10/2021 | Serial | 015 Last Visit: 30/10/2021 |
| Patient Name | Mrs. GITA DUTTA | Contact No | 9239542350 |
| Address | 131,B,BARUI PARA LANE SERAMPORE | Age | 78 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||