Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06235 | Date 27/08/2019 |
| Token No | SM/19-20/9213 27/08/2019 | Serial | 021 Last Visit: 27/08/2019 |
| Patient Name | Mrs. SEEMA KHATUN | Contact No | 9088787716 |
| Address | 4 LBS ROAD SERAMPORE | Age | 42 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||