Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05056 | Date 10/05/2019 |
| Token No | SM/19-20/2423 10/05/2019 | Serial | 020 Last Visit: 10/05/2019 |
| Patient Name | Mrs. RUBINA BEGAM | Contact No | 7450043760 |
| Address | 20 MUSALMAN PRA LANE SERAMPORE | Age | 20 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 110/80 mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||