Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07292 | Date 07/01/2020 |
| Token No | SM/19-20/16371 08/01/2020 | Serial | 011 Last Visit: 31/07/2020 |
| Patient Name | Mrs. RUKSANA BEGAM | Contact No | 7890503584 |
| Address | 10 GOPINATH SAHA STREET SERAMPORE | Age | 43 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||