Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02397 | Date 07/12/2018 |
| Token No | SM/18-19/4848 07/12/2018 | Serial | 042 Last Visit: 07/12/2018 |
| Patient Name | Mrs. SUNITA PRASAD | Contact No | 9330828032 |
| Address | TIKIYA PARA SERAMPORE | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||