Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09633 | Date 21/05/2021 |
| Token No | SM/21-22/1610 21/05/2021 | Serial | 026 Last Visit: 21/05/2021 |
| Patient Name | Mrs. MAHERJAN BIBI | Contact No | 7449644348 |
| Address | 26, MAHEJAN DARJI LANE SERAMPORE | Age | 75 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||