Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09594 | Date 07/05/2021 |
| Token No | SM/21-22/1224 07/05/2021 | Serial | 017 Last Visit: 07/05/2021 |
| Patient Name | Mrs. KASHIMAN BIBI | Contact No | |
| Address | KANAI DEWAN TALA LANE SERAMPORE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||