Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07008 | Date 29/11/2019 |
| Token No | SM/19-20/14253 29/11/2019 | Serial | 022 Last Visit: 29/11/2019 |
| Patient Name | Mrs. RIYA YADAV | Contact No | 9163079538 |
| Address | 25 CHOWDHURY PARA LANE 4 TH FL , FLAT NO 403, SERAMPORE | Age | 23 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||