Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09841 | Date 14/07/2021 |
| Token No | SM/21-22/3156 14/07/2021 | Serial | 029 Last Visit: 14/07/2021 |
| Patient Name | Mrs. JHUMA THAKUR | Contact No | 9883164952 |
| Address | PRAVASNAGAR SERAMPORE | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||