Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09351 | Date 19/03/2021 |
| Token No | SM/20-21/30915 19/03/2021 | Serial | 024 Last Visit: 06/07/2021 |
| Patient Name | Mrs. SHABNUM ARA | Contact No | 7980196824 |
| Address | 25/A, PARSHI LANE SILBAGAN SERAMPORE | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||