Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08799 | Date 30/09/2020 |
| Token No | SM/20-21/26152 30/09/2020 | Serial | 006 Last Visit: 30/09/2020 |
| Patient Name | Mrs. TARANUM BEGAM | Contact No | 9088787758 |
| Address | BARO BELUR KAL TALA ,BELUMILKI SERAMPORE | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||