Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09517 | Date 22/04/2021 |
| Token No | SM/21-22/711 22/04/2021 | Serial | 046 Last Visit: 22/04/2021 |
| Patient Name | Mrs. GOPA GHOSH | Contact No | 9230213656 |
| Address | CHATRA LANGKAR BAGAN SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||