Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06336 | Date 05/09/2019 |
| Token No | SM/20-21/31214 26/03/2021 | Serial | 025 Last Visit: 19/07/2021 |
| Patient Name | Miss RENU DUBEY | Contact No | 9836790093 |
| Address | 167,N.S AVENUE ,SERAMPORE | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||