Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03975 | Date 02/03/2019 |
| Token No | SM/20-21/26160 30/09/2020 | Serial | 014 Last Visit: 30/09/2020 |
| Patient Name | Mrs. NASIRA BEGAM | Contact No | 8777759778 |
| Address | SERAMPORE MUSALMAN PARA LANE | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||