Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09439 | Date 06/04/2021 |
| Token No | SM/21-22/193 06/04/2021 | Serial | 037 Last Visit: 06/04/2021 |
| Patient Name | Mrs. PUJA KHAN | Contact No | 9088882649 |
| Address | BARGA KHATRIYA PARA BELUMIKI SERAMPORE | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||