Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05975 | Date 27/07/2019 |
| Token No | SM/19-20/7427 27/07/2019 | Serial | 039 Last Visit: 27/07/2019 |
| Patient Name | Mr. MURASHA BIBI | Contact No | |
| Address | 33/A CHATRA MUSALMAN PARA BYE LANE SERAMPORE | Age | 41 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||