Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03772 | Date 21/02/2019 |
| Token No | SM/18-19/9206 21/02/2019 | Serial | 068 Last Visit: 20/04/2020 |
| Patient Name | Mrs. NURJAHAN BEGAM | Contact No | 7980625503 |
| Address | 56 N. N RAY STREET SERAMPORE | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||