Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10242 | Date 27/10/2021 |
| Token No | SM/21-22/6323 27/10/2021 | Serial | 016 Last Visit: 27/10/2021 |
| Patient Name | Mrs. KASHMIRA BEGAM | Contact No | 6290234194 |
| Address | 17,BAZAR BYE LANE SERAMPORE | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||