Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09543 | Date 26/04/2021 |
| Token No | SM/21-22/879 26/04/2021 | Serial | 043 Last Visit: 26/04/2021 |
| Patient Name | Mrs. RAMA HAZRA | Contact No | 9477029195 |
| Address | 26,BARA BAGAN LANE SERAMPORE | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||