Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09568 | Date 30/04/2021 |
| Token No | SM/21-22/1044 30/04/2021 | Serial | 038 Last Visit: 30/04/2021 |
| Patient Name | Mrs. REKHA DEBI | Contact No | 7890089237 |
| Address | 28/E TIN BAZAR SERAMPORE | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||