Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00924 | Date 05/09/2018 |
| Token No | SM/19-20/16832 17/01/2020 | Serial | 053 Last Visit: 17/01/2020 |
| Patient Name | Mrs. GULHAR BIBI | Contact No | 8017565445 |
| Address | 28 CHATRA MUSALMAN PARA, SERAMPORE | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||