Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09797 | Date 06/07/2021 |
| Token No | SM/21-22/2897 06/07/2021 | Serial | 027 Last Visit: 07/07/2021 |
| Patient Name | Mrs. KHUSBU PASWAN | Contact No | 7890816899 |
| Address | M.G ROAD ROY GHAT SERAMPORE | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||