Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09605 | Date 11/05/2021 |
| Token No | SM/21-22/6754 12/11/2021 | Serial | 028 Last Visit: 12/11/2021 |
| Patient Name | Mrs. NEHA HARIJAN | Contact No | 9007893669 |
| Address | 13 P N MUKHERJEE STREET SERAMPORE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||