Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09642 | Date 24/05/2021 |
| Token No | SM/21-22/1651 24/05/2021 | Serial | 029 Last Visit: 06/07/2021 |
| Patient Name | Mrs. FARZANA KHATOON | Contact No | 6291274114 |
| Address | 5, PARSI LANE SERAMPORE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||