Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08404 | Date 22/06/2020 |
| Token No | SM/19-20/25124 25/08/2020 | Serial | 004 Last Visit: 26/06/2023 |
| Patient Name | Miss NAJMA KHATUN | Contact No | 8481968517 |
| Address | 16E RABINDRA BHAWAN ROAD SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||