Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09211 | Date 25/01/2021 |
| Token No | SM/24-25/32114 04/05/2024 | Serial | 031 Last Visit: 04/05/2024 |
| Patient Name | Mrs. SWAPNA DE | Contact No | |
| Address | 42 MUKHERJEE PARA LANE | Age | 54 Years,4 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||