Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10207 | Date 21/10/2021 |
| Token No | SM/21-22/6033 21/10/2021 | Serial | 011 Last Visit: 21/10/2021 |
| Patient Name | Mrs. CHANDRA SINGH | Contact No | 9903024536 |
| Address | BAGER BAGAN SERAMPORE | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||