Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 03862 | Date 25/02/2019 |
| Token No | SM/18-19/9434 25/02/2019 | Serial | 041 Last Visit: 13/07/2020 |
| Patient Name | Mrs. ROUSANARA BIBI | Contact No | 9007803223 |
| Address | 16/C RABINDRABHABAN ROAD,SERAMPORE | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||