Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09909 | Date 05/08/2021 |
| Token No | SM/21-22/3772 05/08/2021 | Serial | 004 Last Visit: 05/08/2021 |
| Patient Name | Mrs. BIBI SAHIN | Contact No | 8910414323 |
| Address | 4,NO ROYGHAT LANE SERAMPORE | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||