Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06980 | Date 25/11/2019 |
| Token No | SM/19-20/14980 09/12/2019 | Serial | 090 Last Visit: 09/12/2019 |
| Patient Name | Mrs. SUKRIYA KHATUN | Contact No | 9088129882 |
| Address | 3 CHATRA BARIM GHOSH LANE , SERAMPORE | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||