Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07820 | Date 17/03/2020 |
| Token No | SM/19-20/19795 17/03/2020 | Serial | 054 Last Visit: 17/03/2020 |
| Patient Name | Mrs. SAJU BEGUM | Contact No | 7449959557 |
| Address | 12 CHATRA MUSALMAN PARA BYE LANE SERAMPORE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||