Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09691 | Date 09/06/2021 |
| Token No | SM/21-22/2904 06/07/2021 | Serial | 034 Last Visit: 04/10/2021 |
| Patient Name | Mrs. CHANDNI MALLIK | Contact No | 9836028655 |
| Address | 3/A CHATRA MUSHALMAN PARA SERAMPORE | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||