Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09396 | Date 26/03/2021 |
| Token No | SM/20-21/31201 26/03/2021 | Serial | 012 Last Visit: 09/04/2021 |
| Patient Name | Mrs. NAZNI KHATOON | Contact No | 8240646713 |
| Address | 9,PARSHI LANE ,SERAMPORE | Age | 22 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||