Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 01437 | Date 01/10/2018 |
| Token No | SM/18-19/2371 03/10/2018 | Serial | 026 Last Visit: 06/04/2021 |
| Patient Name | Mrs. REHANA BIBI | Contact No | 8482065344 |
| Address | 3, PARSI LANE SERAMPORE HOOGHLY | Age | 32 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||