Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09386 | Date 23/03/2021 |
| Token No | SM/20-21/31109 23/03/2021 | Serial | 046 Last Visit: 23/03/2021 |
| Patient Name | Mrs. PUNAM SINGH | Contact No | 7003525364 |
| Address | 2.BARAL BAGAN LANE SERAMPORE | Age | 17 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||