Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08165 | Date 28/04/2020 |
| Token No | SM/19-20/21668 28/04/2020 | Serial | 017 Last Visit: 30/04/2020 |
| Patient Name | Mrs. FATMA BIBI | Contact No | 9123353901 |
| Address | 7/F ARABINDASARANI CHATRA SERAMPORE | Age | 22 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||