Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08161 | Date 27/04/2020 |
| Token No | SM/19-20/21647 27/04/2020 | Serial | 074 Last Visit: 14/07/2020 |
| Patient Name | Mrs. AYESA BIBI | Contact No | 8100120576 |
| Address | 57 N.N. ROY STREET ROY GHAT | Age | 49 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||