Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09798 | Date 06/07/2021 |
| Token No | SM/21-22/2899 06/07/2021 | Serial | 029 Last Visit: 18/08/2021 |
| Patient Name | Mrs. MAMONI JAISWAL | Contact No | 8334875254 |
| Address | 15 ,BHADHURI PARA SERAMPORE | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||