Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 09554 | Date 30/04/2021 |
| Token No | SM/21-22/1010 30/04/2021 | Serial | 004 Last Visit: 30/04/2021 |
| Patient Name | Mrs. PUJA KUMARI | Contact No | 7003632467 |
| Address | 33/B RAILWAY QUATAR SERAMPORE | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||