Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09951 | Date 17/08/2021 |
| Token No | SM/21-22/4123 17/08/2021 | Serial | 007 Last Visit: 18/08/2021 |
| Patient Name | Mrs. ANIMA MALLICK | Contact No | 8100016487 |
| Address | 16/A ROY GHAT LANE SERAMPORE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||