Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08460 | Date 02/07/2020 |
| Token No | SM/19-20/23624 02/07/2020 | Serial | 033 Last Visit: 04/07/2020 |
| Patient Name | Miss MAMTA THAKUR | Contact No | 7321813477 |
| Address | 124 RB SARANI SERAMPORE | Age | 12 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||