Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09591 | Date 06/05/2021 |
| Token No | SM/21-22/7687 11/12/2021 | Serial | 010 Last Visit: 26/10/2022 |
| Patient Name | Mrs. NOISHAVA KAHTUN | Contact No | 9830771191 |
| Address | 56A N N ROY STREET SERAMPORE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||