Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10146 | Date 27/09/2021 |
| Token No | SM/21-22/5553 27/09/2021 | Serial | 051 Last Visit: 27/09/2021 |
| Patient Name | Mrs. SABITRI KURMMI | Contact No | 8442839492 |
| Address | 12, BAZAR BYE LANE SERAMPORE | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||