Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09532 | Date 23/04/2021 |
| Token No | SM/21-22/4381 24/08/2021 | Serial | 070 Last Visit: 24/08/2021 |
| Patient Name | Mrs. SALAHA BEGAM | Contact No | 8116620119 |
| Address | SERAMPORE | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||