Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05948 | Date 25/07/2019 |
| Token No | SM/19-20/7271 25/07/2019 | Serial | 024 Last Visit: 25/07/2019 |
| Patient Name | Mrs. RANJANA RAM SINGH | Contact No | 9748894816 |
| Address | CHATRA GHOSH PARA 1ST LANE SERAMPORE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||