Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 09205 | Date 22/01/2021 |
| Token No | SM/20-21/29686 22/01/2021 | Serial | 041 Last Visit: 22/01/2021 |
| Patient Name | Mrs. PRIYA SAHA | Contact No | 9179983594 |
| Address | 2/106 MAHESH COLLNEY SERAMPORE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||