Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08392 | Date 19/06/2020 |
| Token No | SM/19-20/23256 19/06/2020 | Serial | 019 Last Visit: 19/06/2020 |
| Patient Name | Mrs. AMNA KHATOON | Contact No | 9831512937 |
| Address | 16B RABINDRA BHAWAN SARANI SERAMPORE | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||