Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09718 | Date 14/06/2021 |
| Token No | SM/21-22/4127 17/08/2021 | Serial | 011 Last Visit: 17/08/2021 |
| Patient Name | Mrs. RAHIMA BIBI | Contact No | 6291679419 |
| Address | 93/D MIYAJAN DARJI LANE SERAMPORE | Age | 63 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||