Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08690 | Date 02/09/2020 |
| Token No | SM/20-21/26005 24/09/2020 | Serial | 035 Last Visit: 20/08/2022 |
| Patient Name | Miss ZENAB ZABI | Contact No | 8981817290 |
| Address | 45/A N N ROY STREET SERAMPORE | Age | 17 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||