Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05970 | Date 26/07/2019 |
| Token No | SM/19-20/7385 26/07/2019 | Serial | 054 Last Visit: 26/07/2019 |
| Patient Name | Baby SUNAINA KHAN | Contact No | 7595914346 |
| Address | 27A MUSLMAN PARA LANE SERAMPORE | Age | 2 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||