Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08971 | Date 12/11/2020 |
| Token No | SM/20-21/27515 12/11/2020 | Serial | 021 Last Visit: 12/11/2020 |
| Patient Name | Mrs. CHANDANA CHANDRA | Contact No | 8981665349 |
| Address | 24B MUSALMAN PARA LANE SERAMPORE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||