Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09462 | Date 13/04/2021 |
| Token No | SM/21-22/427 13/04/2021 | Serial | 005 Last Visit: 22/04/2021 |
| Patient Name | Mrs. DIPALI MAJHI | Contact No | 6290918736 |
| Address | MAHATMA GHANDHI ROAD SERAMPORE | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||