Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10830 | Date 23/03/2022 |
| Token No | SM/22-23/11363 04/04/2022 | Serial | 037 Last Visit: 04/04/2022 |
| Patient Name | Mrs. SUVRA MANNA | Contact No | 7044171216 |
| Address | 12/6 PATIPARA CHATRA SERAMPORE | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||