Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 07505 | Date 08/02/2020 |
| Token No | SM/19-20/17824 08/02/2020 | Serial | 045 Last Visit: 08/02/2020 |
| Patient Name | Mrs. RITA SINGH | Contact No | 9830305569 |
| Address | PANCHUBAJAR SERAMPORE | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||