Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06312 | Date 02/09/2019 |
| Token No | SM/19-20/9665 02/09/2019 | Serial | 060 Last Visit: 02/09/2019 |
| Patient Name | Mrs. SUSHILA PASWAN | Contact No | |
| Address | 10 M.G ROAD SERAMPORE | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||