Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02874 | Date 07/01/2019 |
| Token No | SM/19-20/9488 30/08/2019 | Serial | 060 Last Visit: 13/09/2019 |
| Patient Name | Miss NANDINI SINGH | Contact No | 9903371427 |
| Address | 53 MUKHERJEE PARA LANE | Age | 17 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||