Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09333 | Date 16/03/2021 |
| Token No | SM/20-21/30813 16/03/2021 | Serial | 051 Last Visit: 16/03/2021 |
| Patient Name | Mrs. ROSHNI ROY | Contact No | 9433111719 |
| Address | 85/16 KAMALA APARTMENT SERAMPORE , G T ROAD WEST | Age | 31 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||