Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09215 | Date 27/01/2021 |
| Token No | SM/20-21/29787 27/01/2021 | Serial | 011 Last Visit: 27/08/2021 |
| Patient Name | Miss AFSARA KHATUN | Contact No | 7479200445 |
| Address | 56 N N ROY STREET SERAMPORE | Age | 16 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||