Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09397 | Date 26/03/2021 |
| Token No | SM/21-22/345 09/04/2021 | Serial | 014 Last Visit: 09/04/2021 |
| Patient Name | Mrs. RASHIDA BEGUM | Contact No | 8017541781 |
| Address | 42,PANCHU GOPAL BHADURI SARANI , SERAMPORE | Age | 21 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||