Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08281 | Date 27/05/2020 |
| Token No | SM/19-20/23525 29/06/2020 | Serial | 033 Last Visit: 02/07/2020 |
| Patient Name | Mrs. ZEBA KHATOON | Contact No | 9681929940 |
| Address | 42 PGB SARANI SERAMPORE | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||