Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10363 | Date 30/11/2021 |
| Token No | SM/21-22/7333 30/11/2021 | Serial | 013 Last Visit: 30/11/2021 |
| Patient Name | Mrs. SUBI BANERJEE | Contact No | 9804749306 |
| Address | 224/53/A GHOSAL PARA NABAGRAM BAIDHYABATI | Age | 64 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||