Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09366 | Date 19/03/2021 |
| Token No | SM/20-21/30955 19/03/2021 | Serial | 064 Last Visit: 26/03/2021 |
| Patient Name | Mrs. FARHANAZ | Contact No | 8240404937 |
| Address | 22K.M BHATTACHARJEE STREET SERAMPORE | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||