Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07621 | Date 24/02/2020 |
| Token No | SM/19-20/18586 24/02/2020 | Serial | 062 Last Visit: 11/04/2020 |
| Patient Name | Mrs. ANUJA BEGAM | Contact No | 9674106307 |
| Address | 7/D MUSALMAN PARA BYE LANE , SERAMPORE | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||