Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09145 | Date 08/01/2021 |
| Token No | SM/20-21/29189 08/01/2021 | Serial | 027 Last Visit: 13/01/2021 |
| Patient Name | Mrs. GITA SHAW | Contact No | 9037575107 |
| Address | 24 BAZAR BYE LANE,SERAMPORE | Age | 25 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||