Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08286 | Date 29/05/2020 |
| Token No | SM/20-21/26315 05/10/2020 | Serial | 051 Last Visit: 05/10/2020 |
| Patient Name | Mrs. TUHINA BEGUM | Contact No | 7595915797 |
| Address | 127 A.P GHOSH ROAD CHATRA SERAMPORE | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||