Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05522 | Date 22/06/2019 |
| Token No | SM/19-20/5080 22/06/2019 | Serial | 041 Last Visit: 23/07/2021 |
| Patient Name | Mrs. MANOWARA BIBI | Contact No | 9477030569 |
| Address | 7 MUSALMAN PARA LANE SERAMPORE | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||