Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04594 | Date 06/04/2019 |
| Token No | SM/19-20/418 06/04/2019 | Serial | 046 Last Visit: 06/04/2019 |
| Patient Name | Mrs. PUJA KUMARI YADAV | Contact No | 6290359501 |
| Address | 2, DOLTALA CHATRA, SERAMPORE | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||