Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01311 | Date 24/09/2018 |
| Token No | SM/20-21/31207 26/03/2021 | Serial | 018 Last Visit: 09/06/2021 |
| Patient Name | Mrs. TANUJA BEGAM | Contact No | 9874066615 |
| Address | 3/B CHATRA MUSALMAN PARA BYE LANE,SERAMPORE | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||