Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10346 | Date 27/11/2021 |
| Token No | SM/21-22/7263 27/11/2021 | Serial | 039 Last Visit: 27/11/2021 |
| Patient Name | Mrs. SUSHAMA BHOWMIK | Contact No | 6291911597 |
| Address | DAKSHIN RAJHYADHARPUR | Age | 50 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||