Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07650 | Date 27/02/2020 |
| Token No | SM/19-20/21455 23/04/2020 | Serial | 002 Last Visit: 07/01/2023 |
| Patient Name | Mrs. SAMINA BIBI | Contact No | 8981108284 |
| Address | 21 NO MUSALMAN PARA BYE LANE SERAMPORE | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||