Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08127 | Date 22/04/2020 |
| Token No | SM/19-20/21427 22/04/2020 | Serial | 010 Last Visit: 11/06/2020 |
| Patient Name | Mrs. SAJDHA KHATOON | Contact No | 8479994455 |
| Address | 24 PARSI LANE SERAMPORE | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||