Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09535 | Date 23/04/2021 |
| Token No | SM/21-22/809 23/04/2021 | Serial | 062 Last Visit: 23/04/2021 |
| Patient Name | Mrs. SABITA JAISWARA | Contact No | 6291609224 |
| Address | RABINDRA BHABAN SERAMPORE | Age | 44 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||