Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07273 | Date 03/01/2020 |
| Token No | SM/20-21/29208 08/01/2021 | Serial | 046 Last Visit: 17/12/2021 |
| Patient Name | Mrs. KALAWATI SINGH | Contact No | |
| Address | 4 M G ROAD,SERAMPORE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||