Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10958 | Date 25/04/2022 |
| Token No | SM/22-23/11995 25/04/2022 | Serial | 023 Last Visit: 25/04/2022 |
| Patient Name | Mrs. GOURI MUKHERJEE | Contact No | 8335945692 |
| Address | 6A CHAMPATALA LANE CHATRA SERAMPORE | Age | 67 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||