Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01753 | Date 29/10/2018 |
| Token No | SM/21-22/4435 26/08/2021 | Serial | 019 Last Visit: 07/10/2021 |
| Patient Name | Miss PRIYA ADHIKARY | Contact No | 9432087225 |
| Address | 79/K N.N RAY STREET SERAMPORE | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||