Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10262 | Date 02/11/2021 |
| Token No | SM/21-22/6537 02/11/2021 | Serial | 052 Last Visit: 02/11/2021 |
| Patient Name | Mrs. SOMA BAG | Contact No | 8697847110 |
| Address | 41/5G.T ROAD CHATRA SERAMPORE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||