Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02116 | Date 24/11/2018 |
| Token No | SM/20-21/28328 11/12/2020 | Serial | 025 Last Visit: 30/01/2023 |
| Patient Name | Mrs. MAHILA BIBI | Contact No | 8420739777 |
| Address | 28 MUSALMAN PARA LANE SERAMPORE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||