Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 01438 | Date 01/10/2018 |
| Token No | SM/20-21/30665 13/03/2021 | Serial | 004 Last Visit: 05/04/2021 |
| Patient Name | Mrs. MOBINA BIBI | Contact No | 7450961997 |
| Address | 10, T.C GOSWAMI STREET, SERAMPORE | Age | 31 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||