Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08137 | Date 23/04/2020 |
| Token No | SM/19-20/21487 23/04/2020 | Serial | 034 Last Visit: 23/04/2020 |
| Patient Name | Mrs. QURAISHA BIBI | Contact No | 9348396778 |
| Address | 10 T. C. GOSWAMI STREET | Age | 24 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||