Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09669 | Date 03/06/2021 |
| Token No | SM/21-22/10400 02/03/2022 | Serial | 046 Last Visit: 02/03/2022 |
| Patient Name | Mrs. MAJEDA BEGAM | Contact No | 8017858752 |
| Address | 7,MUSHALMAN PARA LANE SERAMPORE | Age | 40yrs Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||