Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09708 | Date 11/06/2021 |
| Token No | SM/21-22/2155 11/06/2021 | Serial | 021 Last Visit: 11/06/2021 |
| Patient Name | Mrs. REKHA MALLICK | Contact No | 6291515528 |
| Address | 16/A ROY GHAT LANE SERAMPORE | Age | 45 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||