Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08264 | Date 16/05/2020 |
| Token No | SM/19-20/22290 16/05/2020 | Serial | 006 Last Visit: 16/05/2020 |
| Patient Name | Mrs. HASINA BIBI | Contact No | 7431098096 |
| Address | BOROBELUR KALTALA, MILKI BADAMTALA, SERAMPORE | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||