Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09394 | Date 25/03/2021 |
| Token No | SM/21-22/9526 01/02/2022 | Serial | 031 Last Visit: 08/02/2022 |
| Patient Name | Mrs. SUKHIYA DAS | Contact No | 9330534335 |
| Address | 18, RAJA.K.L GHOSWAMI STREET SERAMPORE | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||