Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10162 | Date 01/10/2021 |
| Token No | SM/21-22/6644 08/11/2021 | Serial | 039 Last Visit: 08/11/2021 |
| Patient Name | Mrs. NASIMA BEGAM | Contact No | 9051483684 |
| Address | 1DR. CHATTERJEE LANE SERAMPORE | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||