Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07668 | Date 28/02/2020 |
| Token No | SM/19-20/18853 28/02/2020 | Serial | 039 Last Visit: 28/02/2020 |
| Patient Name | Mrs. JAHANARA BIBI | Contact No | 8481996072 |
| Address | 28/A LIBRARY LANE SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||