Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03436 | Date 07/02/2019 |
| Token No | SM/18-19/8226 07/02/2019 | Serial | 053 Last Visit: 27/01/2020 |
| Patient Name | Mrs. RIYA ROY | Contact No | 9681074828 |
| Address | 56 N N ROY STREET | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||