Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01100 | Date 13/09/2018 |
| Token No | SM/20-21/29139 07/01/2021 | Serial | 033 Last Visit: 10/01/2022 |
| Patient Name | Mrs. TARA DEVI SING | Contact No | 9903371427 |
| Address | 53 MUKHERJEE PARA SERAMPORE | Age | 77 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||