Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09348 | Date 19/03/2021 |
| Token No | SM/21-22/2228 14/06/2021 | Serial | 020 Last Visit: 14/06/2021 |
| Patient Name | Mrs. SHARMILA GUPTA | Contact No | 9331287954 |
| Address | 12/A RABINDRA BHAVAN SARANI SERAMPORE M | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||