Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09710 | Date 11/06/2021 |
| Token No | SM/21-22/3780 05/08/2021 | Serial | 012 Last Visit: 04/01/2022 |
| Patient Name | Mrs. JARINA KHATUN | Contact No | 9007803223 |
| Address | 16/C RABINDRA BHAVAN ROAD SERAMPORE | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||