Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09846 | Date 15/07/2021 |
| Token No | SM/21-22/3187 15/07/2021 | Serial | 017 Last Visit: 23/07/2021 |
| Patient Name | Mrs. HABIBA PURKAIT | Contact No | 8768054018 |
| Address | 1.MUSHALMAN PARA LANE SERAMPORE | Age | 27 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||