Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09819 | Date 08/07/2021 |
| Token No | SM/22-23/12871 25/05/2022 | Serial | 020 Last Visit: 07/12/2022 |
| Patient Name | Mrs. SHYMA PARAMANIK | Contact No | 8583924333 |
| Address | 52, DUTTA PARA LANE SERAMPORE | Age | 56 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||