Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08300 | Date 02/06/2020 |
| Token No | SM/19-20/22659 02/06/2020 | Serial | 008 Last Visit: 02/06/2020 |
| Patient Name | Mrs. ANWARI BEGAM | Contact No | 6290078113 |
| Address | 16 K.M SHA STREET SERAMPORE | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||