Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06199 | Date 22/08/2019 |
| Token No | SM/19-20/8975 22/08/2019 | Serial | 040 Last Visit: 22/08/2019 |
| Patient Name | Mrs. ALPANA OJHA | Contact No | 8335032494 |
| Address | KANAIPUR DAKSHIN PALLY , KONNAGAR | Age | 47 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||