Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09042 | Date 11/12/2020 |
| Token No | SM/20-21/28324 11/12/2020 | Serial | 021 Last Visit: 17/12/2020 |
| Patient Name | Mrs. SABHYE GUPTA | Contact No | 6291652755 |
| Address | 22/D KUMARPARA LANE CHATARA SERAMPORE | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||