Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 10372 | Date 02/12/2021 |
| Token No | SM/21-22/7390 02/12/2021 | Serial | 002 Last Visit: 02/12/2021 |
| Patient Name | Mrs. GULABSHA KHATUN | Contact No | 7980926794 |
| Address | 25 PARSI LANE,SERAMPORE | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||