Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08803 | Date 30/09/2020 |
| Token No | SM/20-21/26168 30/09/2020 | Serial | 022 Last Visit: 30/09/2020 |
| Patient Name | Mrs. FATEMA BIBI | Contact No | 7044723114 |
| Address | 214 ZAMINDER ROAD FAKIR PARA, BAIDYABATI(M) | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||