Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11940 | Date 25/02/2023 |
| Token No | SM/22-23/20319 25/02/2023 | Serial | 002 Last Visit: 25/02/2023 |
| Patient Name | Mrs. SUJATA CHOWNI | Contact No | 8617760256 |
| Address | 6 P N MUKHERJEE STREET SERAMPORE | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||