Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10308 | Date 18/11/2021 |
| Token No | SM/21-22/6944 18/11/2021 | Serial | 031 Last Visit: 24/11/2021 |
| Patient Name | Mrs. TOHURA BIBI | Contact No | 9372676279 |
| Address | 33,MUSHAL MAN PARA SERAMPORE | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||