Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07526 | Date 12/02/2020 |
| Token No | SM/19-20/17963 12/02/2020 | Serial | 073 Last Visit: 12/02/2020 |
| Patient Name | Mrs. RAKHI SHA | Contact No | 8013551871 |
| Address | 4 KUMAR PATTY LANE SERAMPORE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||