Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08332 | Date 11/06/2020 |
| Token No | SM/19-20/22962 11/06/2020 | Serial | 012 Last Visit: 20/07/2020 |
| Patient Name | Mrs. SIMRAN KHATUN | Contact No | 9804401213 |
| Address | 21 MUSALMAN PARA BYE LANE SERAMPORE | Age | 18 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||