Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03976 | Date 02/03/2019 |
| Token No | SM/18-19/9771 02/03/2019 | Serial | 090 Last Visit: 16/04/2021 |
| Patient Name | Mrs. RESHMA KAHTUN | Contact No | 8777759778 |
| Address | 10 NO MUSALMAN PARA LANE, SERANMPORE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||