Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08610 | Date 31/07/2020 |
| Token No | SM/19-20/24646 31/07/2020 | Serial | 019 Last Visit: 31/07/2020 |
| Patient Name | Mrs. SHANU BIBI | Contact No | 9333676255 |
| Address | 15 MUSALMAN PARA LANE SERAMPORE | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||