Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01125 | Date 14/09/2018 |
| Token No | SM/18-19/1644 14/09/2018 | Serial | 010 Last Visit: 26/11/2019 |
| Patient Name | Mrs. SALMA BIBI | Contact No | 8697098429 |
| Address | MUSALMAN PARA BYE LANE SERAMPORE | Age | 50.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||