Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01581 | Date 09/10/2018 |
| Token No | SM/18-19/3487 05/11/2018 | Serial | 047 Last Visit: 01/06/2020 |
| Patient Name | Mrs. MANSURA KHAN | Contact No | 6291857319 |
| Address | 27/A MUSALMAN PARA LANE SERAMPORE | Age | 40 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 104 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||