Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 05412 | Date 13/06/2019 |
| Token No | SM/21-22/4567 31/08/2021 | Serial | 020 Last Visit: 03/07/2023 |
| Patient Name | Mrs. AYESA BIBI | Contact No | 7450917758 |
| Address | 10 T.C. GOSWAMI STREET, SERAMPORE | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||