Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03894 | Date 27/02/2019 |
| Token No | SM/19-20/6817 19/07/2019 | Serial | 007 Last Visit: 17/07/2020 |
| Patient Name | Mrs. RAJIA BIBI | Contact No | 9903642175 |
| Address | 27/C CHATRA MUSALMAN PARA BYE LANE SERAMPORE | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||