Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08536 | Date 13/07/2020 |
| Token No | SM/19-20/24077 13/07/2020 | Serial | 047 Last Visit: 13/07/2020 |
| Patient Name | Mrs. KAIMUNANESA | Contact No | 8481968517 |
| Address | 16/E RABINDRA BHAWAN ROAD , RABINDRA BHAWAN, SERAMPORE | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||