Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09996 | Date 27/08/2021 |
| Token No | SM/21-22/4478 27/08/2021 | Serial | 013 Last Visit: 08/10/2021 |
| Patient Name | Mrs. DEEPA THAPA | Contact No | |
| Address | 20 L.B.S ROAD SERAMPORE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||