Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07614 | Date 24/02/2020 |
| Token No | SM/19-20/18557 24/02/2020 | Serial | 033 Last Visit: 24/02/2020 |
| Patient Name | Mrs. SARITA RAM SINGH | Contact No | |
| Address | CHATRA MUSALMAN PARA CHATUGANG, SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||