Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09589 | Date 06/05/2021 |
| Token No | SM/21-22/1194 06/05/2021 | Serial | 021 Last Visit: 06/05/2021 |
| Patient Name | Mrs. RESHMI ROY | Contact No | 9830736912 |
| Address | 23A BENIA PARA LANE SERAMPORE , 712201 | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||