Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08554 | Date 17/07/2020 |
| Token No | SM/19-20/24312 21/07/2020 | Serial | 027 Last Visit: 25/08/2020 |
| Patient Name | Mrs. FARHINA KHATUN | Contact No | 8478927161 |
| Address | 29 MUSALMAN PARA LANE SERAMPORE | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||