Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03734 | Date 20/02/2019 |
| Token No | SM/18-19/9124 20/02/2019 | Serial | 062 Last Visit: 09/03/2019 |
| Patient Name | Mrs. KAMLA UPADHAYA | Contact No | 9051746995 |
| Address | 24 ROY GHAT LANE SERAMPORE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||