Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01057 | Date 11/09/2018 |
| Token No | SM/20-21/31104 23/03/2021 | Serial | 041 Last Visit: 05/10/2021 |
| Patient Name | Mrs. AFROZA BIBI | Contact No | 9903322367 |
| Address | 56, N.N RAY STREET SERAMPORE | Age | 32.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||