Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07291 | Date 07/01/2020 |
| Token No | SM/19-20/16310 07/01/2020 | Serial | 018 Last Visit: 09/01/2020 |
| Patient Name | Mrs. MAIMUN BIBI | Contact No | 8981765670 |
| Address | 36/B/1 MUSALMAN PARA LANE SERAMPORE | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||