Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08559 | Date 18/07/2020 |
| Token No | SM/19-20/24211 18/07/2020 | Serial | 012 Last Visit: 27/08/2022 |
| Patient Name | Mrs. PUJA SHAW | Contact No | 8820134602 |
| Address | 10F M. G ROAD SERAMPORE | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||