Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09416 | Date 01/04/2021 |
| Token No | SM/21-22/20 01/04/2021 | Serial | 020 Last Visit: 01/04/2021 |
| Patient Name | Mrs. TABASUM KHATUN | Contact No | 7890412963 |
| Address | 56,N.N ROY STREET,SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||