Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06233 | Date 27/08/2019 |
| Token No | SM/19-20/9210 27/08/2019 | Serial | 018 Last Visit: 27/08/2019 |
| Patient Name | Mrs. PUNAM SINGH | Contact No | 8777787195 |
| Address | 10 LBS ROAD SERAMPORE | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||