Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10285 | Date 17/11/2021 |
| Token No | SM/21-22/7243 27/11/2021 | Serial | 019 Last Visit: 27/11/2021 |
| Patient Name | Mrs. JUTHIKA DAS | Contact No | 8420127687 |
| Address | 134/A/A.P GHOSH ROAD SERAMPORE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||