Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10356 | Date 27/11/2021 |
| Token No | SM/21-22/7273 27/11/2021 | Serial | 049 Last Visit: 27/11/2021 |
| Patient Name | Mrs. LILABATI DAS | Contact No | 6298006565 |
| Address | DEY GHAT LANE SERAMPORE | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||