Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 09783 | Date 02/07/2021 |
| Token No | SM/21-22/2758 02/07/2021 | Serial | 031 Last Visit: 02/07/2021 |
| Patient Name | Mrs. CHABBI BHANGARI | Contact No | |
| Address | 16,K.L GHOSWAMI STREET SERAMPORE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||