Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07731 | Date 07/03/2020 |
| Token No | SM/19-20/19285 07/03/2020 | Serial | 031 Last Visit: 11/03/2020 |
| Patient Name | Mrs. CHANDA KHATUN | Contact No | 7450945824 |
| Address | 14 TINBAZAR BYE LANE , SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||