Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09675 | Date 04/06/2021 |
| Token No | SM/21-22/7323 30/11/2021 | Serial | 003 Last Visit: 30/11/2021 |
| Patient Name | Mrs. SUCHISMITA PAUL DUTTA | Contact No | 7059676962 |
| Address | 69/7 G.T ROAD SERAMPORE | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||