Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09626 | Date 19/05/2021 |
| Token No | SM/21-22/1554 19/05/2021 | Serial | 031 Last Visit: 19/05/2021 |
| Patient Name | Mrs. NANDITA NAG | Contact No | 9831539643 |
| Address | 114 N.S. AVENUE | Age | 43 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||