Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07517 | Date 12/02/2020 |
| Token No | SM/19-20/19689 16/03/2020 | Serial | 013 Last Visit: 16/03/2020 |
| Patient Name | Miss MUSKAN KHATOON | Contact No | 8420572176 |
| Address | 20 KANAI DEWAN TALA LANE SERAMPORE | Age | 10 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||