Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09823 | Date 09/07/2021 |
| Token No | SM/21-22/3023 09/07/2021 | Serial | 003 Last Visit: 09/07/2021 |
| Patient Name | Mrs. BEBI DEVI | Contact No | 7439755960 |
| Address | 11,RABINDRA BHAWAN ROAD SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||