Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08828 | Date 07/10/2020 |
| Token No | SM/20-21/26407 07/10/2020 | Serial | 010 Last Visit: 07/10/2020 |
| Patient Name | Mrs. KUMKUM ARA | Contact No | |
| Address | 33 NO CHATRA MUSALMAN PARA BYE LANE SERAMPORE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||