Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 12080 | Date 10/05/2023 |
| Token No | SM/22-23/21553 10/05/2023 | Serial | 074 Last Visit: 10/05/2023 |
| Patient Name | Miss JULI JHA | Contact No | 8442963594 |
| Address | N N ROY STREET SERAMPORE | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||