Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 04091 | Date 08/03/2019 |
| Token No | SM/20-21/26973 28/10/2020 | Serial | 027 Last Visit: 28/10/2020 |
| Patient Name | Mrs. SUNITA SINGH | Contact No | |
| Address | BAZAR BYE LANE TINBAZAR SERAMPORE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||