Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09966 | Date 21/08/2021 |
| Token No | SM/21-22/4686 03/09/2021 | Serial | 006 Last Visit: 25/09/2021 |
| Patient Name | Mrs. PRIYANKA BERA | Contact No | 7439855271 |
| Address | 3 PARSHI LANE SERAMPORE | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||