Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09356 | Date 19/03/2021 |
| Token No | SM/20-21/30929 19/03/2021 | Serial | 038 Last Visit: 19/03/2021 |
| Patient Name | Mrs. ROSNARA KHATOON | Contact No | 9681756556 |
| Address | 11 NO T.C GOSWAMI STREET SERAMPORE | Age | 39 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||