Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 06952 | Date 21/11/2019 |
| Token No | SM/19-20/13750 21/11/2019 | Serial | 088 Last Visit: 21/11/2019 |
| Patient Name | Mrs. NAINA CHOWDHURY | Contact No | 9007226251 |
| Address | 663, G.T ROAD SERAMPORE | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||