Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 10153 | Date 28/09/2021 |
| Token No | SM/21-22/5590 28/09/2021 | Serial | 022 Last Visit: 28/09/2021 |
| Patient Name | Mrs. RUKSANA BIBI | Contact No | 7044727445 |
| Address | 16/A BAZAR BYE LANE SERAMPORE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||