Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07549 | Date 15/02/2020 |
| Token No | SM/19-20/18123 15/02/2020 | Serial | 022 Last Visit: 15/02/2020 |
| Patient Name | Miss SWETA KUMARI | Contact No | 9163706650 |
| Address | 14 J.N LAHIRI LANE SERAMPORE | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||