Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09239 | Date 02/02/2021 |
| Token No | SM/20-21/29992 02/02/2021 | Serial | 001 Last Visit: 02/02/2021 |
| Patient Name | Mrs. SULTANA BEGAM | Contact No | 9903803906 |
| Address | 7 MUSALMAN PARA LANE SERAMPORE | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||