Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08273 | Date 19/05/2020 |
| Token No | SM/19-20/22363 19/05/2020 | Serial | 013 Last Visit: 02/07/2020 |
| Patient Name | Mrs. NAZMA KHATOON | Contact No | 6291929844 |
| Address | 57 N N ROY STREET SERAMPORE | Age | 67 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||