Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 04319 | Date 20/03/2019 |
| Token No | SM/19-20/22987 11/06/2020 | Serial | 037 Last Visit: 11/06/2020 |
| Patient Name | Mrs. SAKINA BIBI | Contact No | 9883232063 |
| Address | 4B K.M BHATCHARJEE STREET | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||