Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07439 | Date 28/01/2020 |
| Token No | SM/19-20/17445 01/02/2020 | Serial | 056 Last Visit: 06/02/2020 |
| Patient Name | Mrs. HALIMA BIBI | Contact No | 7450965951 |
| Address | 18/1 MUSALMAN PARA BYE LANE CHATRA SERAMPORE | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||