Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10151 | Date 28/09/2021 |
| Token No | SM/21-22/5588 28/09/2021 | Serial | 020 Last Visit: 27/09/2022 |
| Patient Name | Mrs. YEASMIN BEGUM | Contact No | 8777079841 |
| Address | 4,K.M BHATTACHARYA STREET SERAMPORE | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||