Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07141 | Date 13/12/2019 |
| Token No | SM/21-22/10083 21/02/2022 | Serial | 031 Last Visit: 21/02/2022 |
| Patient Name | Mrs. MINA BIBI | Contact No | 8617783820 |
| Address | 57 N.N ROY STREET SERAMPORE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||