Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09815 | Date 07/07/2021 |
| Token No | SM/21-22/2971 07/07/2021 | Serial | 028 Last Visit: 07/07/2021 |
| Patient Name | Mrs. RABINA BISWAS | Contact No | 9073734114 |
| Address | 21 ROY GHAT LANE SERAMPORE HOOGHLY | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||