Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10019 | Date 01/09/2021 |
| Token No | SM/21-22/6655 08/11/2021 | Serial | 050 Last Visit: 10/10/2022 |
| Patient Name | Mrs. NURJAHAN KHATUN | Contact No | 6291934050 |
| Address | 12,K.M BHATTACHARJEE STREET SERAMPORE | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||