Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08586 | Date 24/07/2020 |
| Token No | SM/20-21/30812 16/03/2021 | Serial | 050 Last Visit: 09/11/2022 |
| Patient Name | Mrs. NAHID MD NIZAMUDDIN | Contact No | 9748511377 |
| Address | 57 N.N RAY STREET SERAMPORE | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||