Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08568 | Date 20/07/2020 |
| Token No | SM/19-20/24926 17/08/2020 | Serial | 088 Last Visit: 30/09/2020 |
| Patient Name | Mrs. ROSNA BIBI | Contact No | 9831179650 |
| Address | CHATRA MUSALMAN PARA , SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||