Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07721 | Date 06/03/2020 |
| Token No | SM/19-20/19212 06/03/2020 | Serial | 037 Last Visit: 06/03/2020 |
| Patient Name | Mrs. RASMANI SINGH | Contact No | |
| Address | 1 CHATRA MUSALMAN PARA SERAMPORE | Age | 57YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||