Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 09465 | Date 13/04/2021 |
| Token No | SM/21-22/2902 06/07/2021 | Serial | 032 Last Visit: 12/07/2023 |
| Patient Name | Mrs. ANITA DEVI | Contact No | 6291037520 |
| Address | 78 K M SAHA STREET SERAMPORE | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||