Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08301 | Date 02/06/2020 |
| Token No | SM/19-20/23141 16/06/2020 | Serial | 012 Last Visit: 16/06/2020 |
| Patient Name | Mrs. MAHARUNNISHA BEGAM | Contact No | 9681319906 |
| Address | 20 CHATRA KUMAR PARA LANE SERAMPORE | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||