Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04979 | Date 30/04/2019 |
| Token No | SM/19-20/24328 22/07/2020 | Serial | 006 Last Visit: 27/09/2022 |
| Patient Name | Mrs. NAJMA BIBI | Contact No | 9830771191 |
| Address | 56 N.N RAY STREET SERAMPORE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||