Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 10625 | Date 04/02/2022 |
| Token No | SM/21-22/10671 11/03/2022 | Serial | 024 Last Visit: 11/03/2022 |
| Patient Name | Mrs. NAGMA KHATOON | Contact No | 8910920743 |
| Address | 2 PARSHI LANE SERAMPORE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||