Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10255 | Date 30/10/2021 |
| Token No | SM/21-22/6449 30/10/2021 | Serial | 018 Last Visit: 30/10/2021 |
| Patient Name | Mrs. SRIKANTA POREL | Contact No | 9874571884 |
| Address | 17,CHATRA CHAMPATALA LANEW SERAMPORE | Age | 43 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||