Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09790 | Date 05/07/2021 |
| Token No | SM/21-22/2845 05/07/2021 | Serial | 029 Last Visit: 05/07/2021 |
| Patient Name | Mrs. ASAMA BIBI | Contact No | 6289839518 |
| Address | 10 MUSHALMAN PARA LANE SERAMPORE | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||