Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 04897 | Date 24/04/2019 |
| Token No | SM/19-20/1597 24/04/2019 | Serial | 067 Last Visit: 24/04/2019 |
| Patient Name | Miss NISHA KUMARI JAISWARA | Contact No | 9681054810 |
| Address | 11 RABINDRA BHAWAN ROAD SERAMPORE | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||