Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 10642 | Date 08/02/2022 |
| Token No | SM/21-22/10155 23/02/2022 | Serial | 006 Last Visit: 28/02/2022 |
| Patient Name | Mrs. RAJIYA SULTANA | Contact No | 9330351978 |
| Address | 7 PARSHI LANE SERAMPORE | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||