Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10440 | Date 21/12/2021 |
| Token No | SM/21-22/7970 21/12/2021 | Serial | 026 Last Visit: 21/12/2021 |
| Patient Name | Mrs. SUPARNA MAITY | Contact No | 9804244896 |
| Address | CHATRA MANNA PARA SERAMPORE | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||