Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09849 | Date 16/07/2021 |
| Token No | SM/21-22/3225 16/07/2021 | Serial | 011 Last Visit: 16/07/2021 |
| Patient Name | Mrs. MIRARANI JANA | Contact No | 7278221991 |
| Address | 15,BAISHNAB PARA 1ST LANE | Age | 72 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||