Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10261 | Date 02/11/2021 |
| Token No | SM/21-22/6536 02/11/2021 | Serial | 051 Last Visit: 02/11/2021 |
| Patient Name | Mrs. SUBHRA GHOSH | Contact No | 6290975188 |
| Address | 50/A THAKUR DAS BABU LANE SERAMPORE | Age | 54 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||