Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08917 | Date 29/10/2020 |
| Token No | SM/20-21/26981 29/10/2020 | Serial | 008 Last Visit: 08/01/2021 |
| Patient Name | Mrs. REKHA PASI | Contact No | 9836980266 |
| Address | 18 K M BHATTACHARYA STREET SERAMPORE | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||