Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07443 | Date 28/01/2020 |
| Token No | SM/19-20/23674 02/07/2020 | Serial | 083 Last Visit: 15/01/2021 |
| Patient Name | Mrs. ANIMA KHATUN | Contact No | 8334018676 |
| Address | 17 LIBRARY LANE SERAMPORE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||