Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09426 | Date 05/04/2021 |
| Token No | SM/21-22/127 05/04/2021 | Serial | 040 Last Visit: 05/04/2021 |
| Patient Name | Mrs. SABANA PARVEN | Contact No | 9875443981 |
| Address | 56,D,N.N ROY STREET SERAMPORE | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||