Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09018 | Date 02/12/2020 |
| Token No | SM/20-21/28000 02/12/2020 | Serial | 015 Last Visit: 02/12/2020 |
| Patient Name | Mrs. AMINA BIBI | Contact No | 7439205050 |
| Address | 7 CHATRA KUMAR PARA SERAMPORE | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||