Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06047 | Date 05/08/2019 |
| Token No | SM/21-22/7360 01/12/2021 | Serial | 009 Last Visit: 21/04/2022 |
| Patient Name | Mrs. DIPTI DAS | Contact No | 8017893407 |
| Address | 3 CHATRA DHARMOTALA SERAMPORE | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||