Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06680 | Date 17/10/2019 |
| Token No | SM/19-20/11975 17/10/2019 | Serial | 085 Last Visit: 17/10/2019 |
| Patient Name | Mrs. SAIRA KHATUN | Contact No | 9681779061 |
| Address | 6 K.M BHATCHARYA STREET , SERAMPORE | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||