Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09840 | Date 14/07/2021 |
| Token No | SM/21-22/6847 16/11/2021 | Serial | 015 Last Visit: 02/12/2022 |
| Patient Name | Mrs. NAMITA DAS | Contact No | 8481966207 |
| Address | 54,BARA BAGAN LANE SERAMPORE | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||