Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07881 | Date 21/03/2020 |
| Token No | SM/19-20/20072 21/03/2020 | Serial | 028 Last Visit: 21/03/2020 |
| Patient Name | Mrs. ANJUM BEGAM | Contact No | 9681813787 |
| Address | 48 N.N ROY STREET SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||