Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08696 | Date 03/09/2020 |
| Token No | SM/19-20/25362 03/09/2020 | Serial | 008 Last Visit: 03/09/2020 |
| Patient Name | Mrs. SHAYERA BIBI | Contact No | 7059904137 |
| Address | 5/A MUSALMAN PARA BYE LANE SERAMPORE | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||