Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09811 | Date 07/07/2021 |
| Token No | SM/21-22/2960 07/07/2021 | Serial | 017 Last Visit: 08/07/2021 |
| Patient Name | Mrs. PRIYANKA PASWAN | Contact No | 8910918971 |
| Address | 10,MAHATMA GANDHI ROAD SERAMPORE | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||