Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09918 | Date 07/08/2021 |
| Token No | SM/21-22/3849 07/08/2021 | Serial | 020 Last Visit: 07/08/2021 |
| Patient Name | Miss DISHA BHANGARI | Contact No | 7278899484 |
| Address | 16,RAJA K.L GOSWAMI STREET SERAMPORE | Age | 17 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||