Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08437 | Date 27/06/2020 |
| Token No | SM/19-20/23482 27/06/2020 | Serial | 010 Last Visit: 27/06/2020 |
| Patient Name | Miss MIMI JAISOWAL | Contact No | 9874255679 |
| Address | 32/A BHADURI LANE SERAMPORE | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||