Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05494 | Date 20/06/2019 |
| Token No | SM/22-23/11387 04/04/2022 | Serial | 061 Last Visit: 02/06/2022 |
| Patient Name | Mrs. REHANA BIBI | Contact No | 9143609467 |
| Address | 57 N.N RAY STREET SERAMPORE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||