Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 07664 | Date 28/02/2020 |
| Token No | SM/19-20/19294 07/03/2020 | Serial | 040 Last Visit: 07/03/2020 |
| Patient Name | Mrs. SAHANA KHAN | Contact No | 9230691961 |
| Address | 28 LIBARARY LANE SERAMPORE | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 73 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||