Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06209 | Date 24/08/2019 |
| Token No | SM/19-20/9030 24/08/2019 | Serial | 007 Last Visit: 24/08/2019 |
| Patient Name | Mrs. SUKLA DUBEY | Contact No | 9830974269 |
| Address | 21 CHOWDHURY PARA BYE LANE SERAMPORE (M) | Age | 31 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||