Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10078 | Date 13/09/2021 |
| Token No | SM/21-22/5352 22/09/2021 | Serial | 028 Last Visit: 22/09/2021 |
| Patient Name | Mrs. RASMONI SINGH | Contact No | 7044743177 |
| Address | 54, MUKHERJEE PARA LANE | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||