Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09768 | Date 29/06/2021 |
| Token No | SM/21-22/2678 29/06/2021 | Serial | 019 Last Visit: 19/05/2022 |
| Patient Name | Mrs. RANI HARI | Contact No | 8697920917 |
| Address | ROY GHAT LANE SERAMPORE | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||