Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09732 | Date 21/06/2021 |
| Token No | SM/21-22/2408 21/06/2021 | Serial | 051 Last Visit: 21/06/2021 |
| Patient Name | Mrs. JHUMA BISWAS | Contact No | |
| Address | 73/2 SATCHASI PARA SERAMPORE | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||