Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07257 | Date 30/12/2019 |
| Token No | SM/19-20/16048 30/12/2019 | Serial | 037 Last Visit: 30/12/2019 |
| Patient Name | Mrs. KAMALA MAJHI | Contact No | 9883117720 |
| Address | 59 BARA BAGAN LANE SERAMPORE | Age | 73 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||