Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08837 | Date 08/10/2020 |
| Token No | SM/21-22/3720 03/08/2021 | Serial | 016 Last Visit: 07/10/2021 |
| Patient Name | Miss SYARA BANU | Contact No | 7449834983 |
| Address | 56/A N.N. ROY STREET, SERAMPORE (M) | Age | 12.5 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||