Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09347 | Date 19/03/2021 |
| Token No | SM/20-21/30909 19/03/2021 | Serial | 018 Last Visit: 19/03/2021 |
| Patient Name | Mrs. RINKU SINGH | Contact No | |
| Address | T.P. BHATTACHARJEE STREET SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||