Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06776 | Date 01/11/2019 |
| Token No | SM/19-20/12590 01/11/2019 | Serial | 037 Last Visit: 18/11/2022 |
| Patient Name | Miss ANKITA ROY | Contact No | 8820235149 |
| Address | 49 N N ROY STREET | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||