Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08714 | Date 08/09/2020 |
| Token No | SM/19-20/25502 08/09/2020 | Serial | 016 Last Visit: 08/09/2020 |
| Patient Name | Mrs. SABINA | Contact No | |
| Address | 37 MUSALMAN PARA BYE LANE SERAMPORE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||