Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 10775 | Date 11/03/2022 |
| Token No | SM/21-22/10664 11/03/2022 | Serial | 017 Last Visit: 11/03/2022 |
| Patient Name | Mrs. RITA KUMARI | Contact No | 9835544133 |
| Address | 18 LALBAHADUR SHASTRI ROAD SERAMPORE | Age | 24 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | 1394 cm BMI: 0.190404 |
| Diagnosis | |||