Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08305 | Date 04/06/2020 |
| Token No | SM/19-20/22720 04/06/2020 | Serial | 005 Last Visit: 04/06/2020 |
| Patient Name | Mrs. MANOWARA BEGAM | Contact No | 9163066044 |
| Address | 23/1 MUSALMAN PARA BYE LANE SERAMPORE | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||