Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09311 | Date 12/03/2021 |
| Token No | SM/21-22/1652 24/05/2021 | Serial | 030 Last Visit: 09/11/2023 |
| Patient Name | Mrs. KUSUM PARVEEN | Contact No | 7439103899 |
| Address | 5 PARSHI LANE,SERAMPORE, | Age | 20 Years,10 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||