Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08427 | Date 25/06/2020 |
| Token No | SM/19-20/23418 25/06/2020 | Serial | 057 Last Visit: 30/09/2021 |
| Patient Name | Mrs. HUSNE TARA KHATOON | Contact No | 9681756556 |
| Address | 11, T.C GOSWAMI STREET SERAMPORE | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||