Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07757 | Date 11/03/2020 |
| Token No | SM/19-20/24529 28/07/2020 | Serial | 012 Last Visit: 28/07/2020 |
| Patient Name | Mrs. SEBIRA KHATUN | Contact No | 7063204148 |
| Address | 20 KANAHAI DEWAN TALA BYE LANE , SERAMPORE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||