Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07742 | Date 11/03/2020 |
| Token No | SM/19-20/19374 11/03/2020 | Serial | 037 Last Visit: 11/03/2020 |
| Patient Name | Mrs. MOSLEMA BIBI | Contact No | |
| Address | CHATRA KUMAR PARA SERAMPORE | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||