Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01311 | Date 24/09/2018 |
| Token No | SM/18-19/2001 24/09/2018 | Serial | 060 Last Visit: 09/06/2021 |
| Patient Name | Mrs. TANUJA BEGAM | Contact No | 9874066615 |
| Address | 3/B CHATRA MUSALMAN PARA BYE LANE,SERAMPORE | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 91/52 mmHg | Weight | 40 KG |
| Pulse Rate | 94 / min | Height | cm BMI: inf |
| Diagnosis | |||