Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10283 | Date 17/11/2021 |
| Token No | SM/21-22/6874 17/11/2021 | Serial | 001 Last Visit: 17/11/2021 |
| Patient Name | Mrs. SWETA SINGH | Contact No | 8777452910 |
| Address | 54 MUKHERJEE PARA LANE SERAMPORE | Age | 25 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||