Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11569 | Date 14/09/2022 |
| Token No | SM/22-23/16703 14/09/2022 | Serial | 008 Last Visit: 19/09/2022 |
| Patient Name | Mrs. PAMELA LAHA | Contact No | 8584936190 |
| Address | 13 DR PN MUKHERJEE STREET CHATRA SERAMPORE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||