Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10293 | Date 17/11/2021 |
| Token No | SM/21-22/6902 17/11/2021 | Serial | 029 Last Visit: 17/11/2021 |
| Patient Name | Mrs. MINA BIBI | Contact No | 9875581242 |
| Address | MUSALMAN PARA SERAMPORE | Age | 43 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||