Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09950 | Date 16/08/2021 |
| Token No | SM/21-22/7535 07/12/2021 | Serial | 031 Last Visit: 07/12/2021 |
| Patient Name | Mrs. PURNIMA SARDAR | Contact No | 9007680896 |
| Address | 21,BHATTACHARJEE GARDEN LANE SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||