Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06934 | Date 20/11/2019 |
| Token No | SM/19-20/13656 20/11/2019 | Serial | 065 Last Visit: 10/01/2022 |
| Patient Name | Mrs. NASOWYA BIBI | Contact No | 6291929844 |
| Address | 56 N.N ROY STREET SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||