Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10116 | Date 23/09/2021 |
| Token No | SM/21-22/5365 23/09/2021 | Serial | 010 Last Visit: 23/09/2021 |
| Patient Name | Mrs. DALIIA SARKAR | Contact No | 9804640344 |
| Address | A 5 FIRST FLOOR 6/A ROY GHAT LANE | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||