Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05539 | Date 24/06/2019 |
| Token No | SM/19-20/5179 24/06/2019 | Serial | 045 Last Visit: 24/06/2019 |
| Patient Name | Mrs. NAJIMA BIBI | Contact No | 8420373043 |
| Address | CHANDANNAGER, | Age | 45 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 100/70 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||