Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08369 | Date 17/06/2020 |
| Token No | SM/19-20/23190 17/06/2020 | Serial | 021 Last Visit: 17/06/2020 |
| Patient Name | Mrs. NILU AGRAHARI | Contact No | 8481950026 |
| Address | 1 RAJGOSWAMI LINE SERAMPORE | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||