Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09643 | Date 24/05/2021 |
| Token No | SM/21-22/1659 24/05/2021 | Serial | 037 Last Visit: 14/06/2021 |
| Patient Name | Miss RANI KHATUN | Contact No | 9062072301 |
| Address | 10 T C GOSWAMI STREET SERAMPORE | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||