Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01558 | Date 06/10/2018 |
| Token No | SM/19-20/23276 20/06/2020 | Serial | 015 Last Visit: 20/06/2020 |
| Patient Name | Mrs. SAKILA KHATUN | Contact No | 9339742590 |
| Address | 47, N.N RAY STREET SERAMPORE | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||