Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09649 | Date 24/05/2021 |
| Token No | SM/21-22/1688 24/05/2021 | Serial | 066 Last Visit: 24/05/2021 |
| Patient Name | Mrs. M.D NISAR | Contact No | 8820985300 |
| Address | 10,T.C GOSWAMI STREET SERAMPORE | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||