Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10233 | Date 26/10/2021 |
| Token No | SM/21-22/6646 08/11/2021 | Serial | 041 Last Visit: 02/12/2021 |
| Patient Name | Mrs. ROSHNI KHATOON | Contact No | 9163655989 |
| Address | 77,A.T GHOSH ROAD SERAMPORE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||