Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06983 | Date 25/11/2019 |
| Token No | SM/19-20/13958 25/11/2019 | Serial | 067 Last Visit: 13/04/2020 |
| Patient Name | Mrs. SABERA KHATUN | Contact No | 8981873139 |
| Address | 24 MUSALMAN PARA TIKIYA PARA , SERAMPORE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||