Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08641 | Date 17/08/2020 |
| Token No | SM/19-20/24879 17/08/2020 | Serial | 041 Last Visit: 26/08/2020 |
| Patient Name | Miss ZINAT PARVEEN | Contact No | 8478827218 |
| Address | 13/A KK. M. BHATTACHARYA STREET | Age | 17 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||