Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09303 | Date 09/03/2021 |
| Token No | SM/20-21/30539 09/03/2021 | Serial | 014 Last Visit: 22/11/2021 |
| Patient Name | Mrs. MUMTAZ ARA | Contact No | 8240842671 |
| Address | 19 T C GOSWAMI STREET SERAMPORE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||