Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08558 | Date 18/07/2020 |
| Token No | SM/19-20/24205 18/07/2020 | Serial | 006 Last Visit: 24/08/2021 |
| Patient Name | Mrs. MANOYARA BIBI | Contact No | 6291339652 |
| Address | 20 KANHAI DEWAN TALA BYE LANE , SERAMPORE | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||