Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08453 | Date 30/06/2020 |
| Token No | SM/19-20/23548 30/06/2020 | Serial | 001 Last Visit: 24/08/2020 |
| Patient Name | Mrs. REKIMA KHATUN | Contact No | 6290436708 |
| Address | SEORAPHULY,CHATU GANGE,SERAMPORE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||