Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06508 | Date 23/09/2019 |
| Token No | SM/19-20/11146 26/09/2019 | Serial | 030 Last Visit: 30/09/2019 |
| Patient Name | Mrs. PUJA SINGH | Contact No | 8777537737 |
| Address | 33 N S AVENEU ,SERAMPORE | Age | 23 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||