Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09047 | Date 14/12/2020 |
| Token No | SM/20-21/28531 17/12/2020 | Serial | 037 Last Visit: 08/01/2021 |
| Patient Name | Mrs. TARANUM KHATUN | Contact No | 9681494504 |
| Address | 29 TINBAZAR SERAMPORE | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||