Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09128 | Date 05/01/2021 |
| Token No | SM/21-22/859 26/04/2021 | Serial | 023 Last Visit: 26/04/2021 |
| Patient Name | Mrs. NIBEDITA GUIN | Contact No | 7278885601 |
| Address | 1/1 B, DUTTA PARA LANE CHATRA SERAMPORE | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||