Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08135 | Date 23/04/2020 |
| Token No | SM/19-20/24763 06/08/2020 | Serial | 038 Last Visit: 06/08/2020 |
| Patient Name | Mrs. SHABANA KHATOON | Contact No | 9062874263 |
| Address | 27 K.M. BHATTACHARJEE STREET | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||