Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09380 | Date 22/03/2021 |
| Token No | SM/20-21/31051 22/03/2021 | Serial | 029 Last Visit: 22/03/2021 |
| Patient Name | Mrs. CHINTA KUMARI YADAV | Contact No | 8240461007 |
| Address | 54/A/1/D K.M BHATTACHARYA STREET SERAMPORE | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||