Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08969 | Date 12/11/2020 |
| Token No | SM/20-21/27496 12/11/2020 | Serial | 002 Last Visit: 12/11/2020 |
| Patient Name | Mrs. SONALI SHAW | Contact No | |
| Address | 6 MAHATMA GANDHI ROAD SERAMPORE | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||