Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09802 | Date 06/07/2021 |
| Token No | SM/21-22/2910 06/07/2021 | Serial | 040 Last Visit: 06/07/2021 |
| Patient Name | Mrs. BABY DEBI | Contact No | 8100650887 |
| Address | 43,NEW MAHESH SERAMPORE | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||