Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09636 | Date 24/05/2021 |
| Token No | SM/21-22/1628 24/05/2021 | Serial | 006 Last Visit: 24/05/2021 |
| Patient Name | Mrs. SAIRA BANU | Contact No | 8240827900 |
| Address | 56 N N ROY STREET SERAMPORE HOOGHLY | Age | 30 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||