Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06097 | Date 09/08/2019 |
| Token No | SM/19-20/8259 09/08/2019 | Serial | 066 Last Visit: 09/08/2019 |
| Patient Name | Mrs. RUBIYA BIBI | Contact No | 9163069645 |
| Address | 30 CHATRA MUSALMAN PARA BYE LANE SERAMPORE , | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||