Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11663 | Date 10/11/2022 |
| Token No | SM/22-23/17783 10/11/2022 | Serial | 023 Last Visit: 06/12/2022 |
| Patient Name | Mrs. PAPIYA DAS | Contact No | 6290329785 |
| Address | 12/1 PATIPARA CLUB SERAMPORE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||