Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08528 | Date 11/07/2020 |
| Token No | SM/19-20/24023 11/07/2020 | Serial | 014 Last Visit: 11/07/2020 |
| Patient Name | Mrs. KOHINUR BEGUM | Contact No | 9330634599 |
| Address | 7 MUSALMAN PARA BYE LANE CHATRA SERAMPORE | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||