Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09409 | Date 30/03/2021 |
| Token No | SM/20-21/31307 30/03/2021 | Serial | 034 Last Visit: 05/04/2021 |
| Patient Name | Mr. PARIJAN BIBI | Contact No | 9051756971 |
| Address | 63,ROY GHAT LANE SERAMPORE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||