Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09197 | Date 20/01/2021 |
| Token No | SM/20-21/29578 20/01/2021 | Serial | 026 Last Visit: 16/03/2023 |
| Patient Name | Mrs. KORAISHA BIBI | Contact No | 7044353346 |
| Address | 56 N N ROY STREET SERAMPORE | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||