Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06757 | Date 25/10/2019 |
| Token No | SM/19-20/12395 25/10/2019 | Serial | 011 Last Visit: 25/10/2019 |
| Patient Name | Mrs. SANDHYA PASWAN | Contact No | 9123720713 |
| Address | 10 M.G ROAD SERAMPORE | Age | 63 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||