Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09990 | Date 26/08/2021 |
| Token No | SM/21-22/4424 26/08/2021 | Serial | 008 Last Visit: 26/08/2021 |
| Patient Name | Mrs. SAIDA BIBI | Contact No | 6290522822 |
| Address | 18,PARSHI LANE SERAMPORE | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||