Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08940 | Date 05/11/2020 |
| Token No | SM/20-21/28777 26/12/2020 | Serial | 013 Last Visit: 26/12/2020 |
| Patient Name | Mrs. MUSARAT BEGAM | Contact No | 9062573298 |
| Address | 7 T C GOSWAMI STREET SERAMPORE | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||