Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06801 | Date 06/11/2019 |
| Token No | SM/19-20/12762 06/11/2019 | Serial | 015 Last Visit: 06/11/2019 |
| Patient Name | Miss SANCHITA VERMA | Contact No | 8334913733 |
| Address | 21 CHATRA GHOSH PARA 1ST LANE SERAMPORE | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||