Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08384 | Date 18/06/2020 |
| Token No | SM/19-20/23227 18/06/2020 | Serial | 026 Last Visit: 18/06/2020 |
| Patient Name | Miss GULAFSHA KHATOON | Contact No | 9062573298 |
| Address | 7 NO T.C GOSWAMI STREET SERAMPORE | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||