Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 06914 | Date 19/11/2019 |
| Token No | SM/19-20/13569 19/11/2019 | Serial | 066 Last Visit: 19/11/2019 |
| Patient Name | Mrs. RESHMA KHATUN | Contact No | 7003584682 |
| Address | 16, BAZAR BYE LANE SERAMPORE | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||