Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10020 | Date 01/09/2021 |
| Token No | SM/21-22/4620 01/09/2021 | Serial | 018 Last Visit: 01/09/2021 |
| Patient Name | Mrs. NAJMA KHATOON | Contact No | 6291934050 |
| Address | 12.K.M BHATTACHARJEE STREET SERAMPORE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||