Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10272 | Date 15/11/2021 |
| Token No | SM/21-22/7143 25/11/2021 | Serial | 007 Last Visit: 25/11/2021 |
| Patient Name | Mrs. KAKALI MALIK | Contact No | 9163206730 |
| Address | 45 A.P. GHOSH ROAD | Age | 41 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||