Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11742 | Date 05/12/2022 |
| Token No | SM/22-23/18572 05/12/2022 | Serial | 014 Last Visit: 05/12/2022 |
| Patient Name | Mrs. SUNANDA LAHA | Contact No | 9088051712 |
| Address | 130E CHATRA BARUI PARA SERAMPORE | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 32 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||