Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09848 | Date 16/07/2021 |
| Token No | SM/21-22/3224 16/07/2021 | Serial | 010 Last Visit: 16/07/2021 |
| Patient Name | Mrs. BABY GHOSH | Contact No | 7278221991 |
| Address | ROY GHAT LANE SERAMPORE | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||