Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10331 | Date 24/11/2021 |
| Token No | SM/21-22/7105 24/11/2021 | Serial | 022 Last Visit: 08/09/2022 |
| Patient Name | Mrs. SUPARNA CHATTERJEE | Contact No | 6290121429 |
| Address | 54/A DHARMATALA LANE SERAMPORE | Age | 39 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||