Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09408 | Date 30/03/2021 |
| Token No | SM/21-22/136 05/04/2021 | Serial | 049 Last Visit: 05/04/2021 |
| Patient Name | Mrs. RUKJAN BIBI | Contact No | 9051756971 |
| Address | 63,ROY GHAT LANE , SERAMPORE | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||