Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09094 | Date 26/12/2020 |
| Token No | SM/20-21/28766 26/12/2020 | Serial | 002 Last Visit: 26/12/2020 |
| Patient Name | Miss JHUMA MALAKAR | Contact No | 7980378030 |
| Address | 3 MAHATAMA GHANDHI ROAD SERAMPORE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||