Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09530 | Date 23/04/2021 |
| Token No | SM/21-22/5210 18/09/2021 | Serial | 022 Last Visit: 17/03/2022 |
| Patient Name | Mrs. RESHMA BEGAM | Contact No | 7003555740 |
| Address | 6,B CHATRA KANAI DEWAN TALA LANE SERAMPORE | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||