Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08699 | Date 03/09/2020 |
| Token No | SM/21-22/4384 25/08/2021 | Serial | 002 Last Visit: 25/08/2021 |
| Patient Name | Mrs. BASANTI MALIK | Contact No | 8617756113 |
| Address | 9 CHURCH STREET NEAR SERAMPORE H.P.O | Age | 53 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||