Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10532 | Date 10/01/2022 |
| Token No | SM/21-22/10101 22/02/2022 | Serial | 001 Last Visit: 18/04/2022 |
| Patient Name | Mrs. RAMICHA BIBI | Contact No | 8481031867 |
| Address | 1,DR. CHATTERJEE BYE LANE | Age | 39 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||