Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08403 | Date 22/06/2020 |
| Token No | SM/19-20/25123 25/08/2020 | Serial | 003 Last Visit: 25/08/2020 |
| Patient Name | Mrs. FARIDA BEGUM | Contact No | 7686002838 |
| Address | 29 MUSALMAN PARA LANE , SERAMPORE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||