Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07068 | Date 04/12/2019 |
| Token No | SM/20-21/30652 12/03/2021 | Serial | 046 Last Visit: 12/03/2021 |
| Patient Name | Mrs. MANIRA BIBI | Contact No | 8420572176 |
| Address | 20 KANAI DEWAN TALA LANE SERAMPORE | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||