Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05097 | Date 13/05/2019 |
| Token No | SM/19-20/22903 09/06/2020 | Serial | 033 Last Visit: 26/08/2020 |
| Patient Name | Mrs. NASIMA BEGAM | Contact No | 9681653218 |
| Address | 56 N.N RAY STREET SERAMPORE | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||