Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10347 | Date 27/11/2021 |
| Token No | SM/21-22/7264 27/11/2021 | Serial | 040 Last Visit: 27/11/2021 |
| Patient Name | Mrs. LIPIKA RAY | Contact No | 9647334587 |
| Address | 07, DR B.N JOT SARANI SERAMPORE | Age | 49 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||