Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07012 | Date 29/11/2019 |
| Token No | SM/21-22/2020 08/06/2021 | Serial | 022 Last Visit: 08/06/2021 |
| Patient Name | Mrs. SIMA DOLUI | Contact No | 7890676273 |
| Address | DAKSHIN RAJDHAR PUR PASCHIM PARA SERAMPORE | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||