Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 06698 | Date 19/10/2019 |
| Token No | SM/19-20/12095 19/10/2019 | Serial | 044 Last Visit: 19/10/2019 |
| Patient Name | Miss AFROJEE BANO | Contact No | 7449609853 |
| Address | 39 PANCHUGOPAL BHADURI SARANI SERAMPORE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||