Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06595 | Date 05/10/2019 |
| Token No | SM/19-20/11511 05/10/2019 | Serial | 001 Last Visit: 04/12/2020 |
| Patient Name | Mrs. MUSKAN KHATOON | Contact No | |
| Address | SERAMPORE | Age | 18 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||