Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08414 | Date 24/06/2020 |
| Token No | SM/21-22/6989 22/11/2021 | Serial | 029 Last Visit: 05/11/2022 |
| Patient Name | Miss SHABNAM ARA | Contact No | 9330706001 |
| Address | 10 T.C GOSWAMI STREET SERAMPORE | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||