Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07392 | Date 22/01/2020 |
| Token No | SM/19-20/17023 22/01/2020 | Serial | 004 Last Visit: 22/01/2020 |
| Patient Name | Mrs. AMINA KHATUN | Contact No | 9062744231 |
| Address | 21/4 PARSHI LANE SERAMPORE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||