Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09537 | Date 24/04/2021 |
| Token No | SM/21-22/824 24/04/2021 | Serial | 013 Last Visit: 24/04/2021 |
| Patient Name | Mrs. SANDHYA MUKHERJEE | Contact No | 7044244377 |
| Address | 13/14,MUKHERJEE PARA CHATRA | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||