Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09315 | Date 13/03/2021 |
| Token No | SM/21-22/6090 22/10/2021 | Serial | 021 Last Visit: 13/01/2022 |
| Patient Name | Mrs. SABRA KHATUN | Contact No | 9681306114 |
| Address | 14 PARSI LANE SERAMPORE | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||