Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05482 | Date 18/06/2019 |
| Token No | SM/21-22/3934 10/08/2021 | Serial | 021 Last Visit: 10/08/2021 |
| Patient Name | Mrs. JHINI KHATUN | Contact No | |
| Address | 56 N.N RAY STREET SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||