Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09566 | Date 30/04/2021 |
| Token No | SM/21-22/2250 14/06/2021 | Serial | 042 Last Visit: 14/06/2021 |
| Patient Name | Mrs. SHOVA ROY | Contact No | 8017671677 |
| Address | 16,RAJA K.L GHOSWAMI STREET SERAMPORE | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||