Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09143 | Date 08/01/2021 |
| Token No | SM/20-21/29170 08/01/2021 | Serial | 008 Last Visit: 08/01/2021 |
| Patient Name | Mrs. MAMTA MISHRA | Contact No | 9874180122 |
| Address | 67/21 G T ROAD WEST SERAMPORE M | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||