Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08840 | Date 10/10/2020 |
| Token No | SM/20-21/30857 18/03/2021 | Serial | 005 Last Visit: 18/03/2021 |
| Patient Name | Mrs. RINA BEGAM | Contact No | 6290143179 |
| Address | 5/B GOPI NATH SAHA STREET SERAMPORE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||