Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01376 | Date 27/09/2018 |
| Token No | SM/19-20/24909 17/08/2020 | Serial | 071 Last Visit: 17/08/2020 |
| Patient Name | Mrs. ALIA BIBI | Contact No | 6291658495 |
| Address | 29 B CHATRA MUSALMAN PARA BYE LANE SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||