Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06180 | Date 20/08/2019 |
| Token No | SM/19-20/8838 20/08/2019 | Serial | 117 Last Visit: 20/08/2019 |
| Patient Name | Mrs. NAJIA BIBI | Contact No | 9748511377 |
| Address | 57 N.N RAY STREET SERAMPORE | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||