Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09770 | Date 30/06/2021 |
| Token No | SM/21-22/2698 30/06/2021 | Serial | 004 Last Visit: 30/06/2021 |
| Patient Name | Mrs. PRIYANKA PAL | Contact No | 6289524145 |
| Address | 1.NO COLONY SERAMPORE | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||