Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08275 | Date 22/05/2020 |
| Token No | SM/19-20/22396 22/05/2020 | Serial | 006 Last Visit: 02/07/2020 |
| Patient Name | Mrs. SONA SHAW | Contact No | 6291414614 |
| Address | 15 KAPURZA PATTY LANE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||