Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10208 | Date 21/10/2021 |
| Token No | SM/21-22/6034 21/10/2021 | Serial | 012 Last Visit: 21/10/2021 |
| Patient Name | Mrs. BEAUTY SINGH | Contact No | 8910489173 |
| Address | BAGER BAGAN SERAMPORE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||