Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10241 | Date 27/10/2021 |
| Token No | SM/21-22/6321 27/10/2021 | Serial | 014 Last Visit: 02/12/2021 |
| Patient Name | Mrs. DURGAWATI DEVI | Contact No | 9262270405 |
| Address | JHAWTALA SERAMPORE | Age | 26 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||