Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04531 | Date 03/04/2019 |
| Token No | SM/19-20/9420 29/08/2019 | Serial | 061 Last Visit: 29/08/2019 |
| Patient Name | Mrs. SABANA BEGAM | Contact No | 9748289559 |
| Address | 26B KANHAI DEWAN TALA LANE SERAMPORE | Age | 44 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||